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General NPI Number Information
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NPI Number | 1003934910
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Entity Type | Individual
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Provider Name | STEVEN FEI WU PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 310 HUGHES ST
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City | BRANDON
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State | FL
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Zip | 33510-4412
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Country | US
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Telephone | 813-655-7057
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Fax | 813-655-7057
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | VALRICO
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State | FL
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Zip | 33595-0189
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Country | US
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Telephone | 813-655-7057
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Fax | 813-655-7057
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY0004543
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License Number State | FL
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