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General NPI Number Information
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NPI Number | 1073926309
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Entity Type | Individual
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Provider Name | CHAN WU FNP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 2601 SW KENYON ST
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City | SEATTLE
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State | WA
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Zip | 98126-3562
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Country | US
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Telephone | 206-923-2809
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Fax | 206-973-8660
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Provider Business Mailing Address
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Address Line | 1200 12TH AVE S STE 901
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City | SEATTLE
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State | WA
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Zip | 98144-2712
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Country | US
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Telephone |
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP131213
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60914418
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209011522
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60914418
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License Number State | WA
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