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General NPI Number Information
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NPI Number | 1083804066
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Entity Type | Individual
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Provider Name | YANGGUAN WU M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 8268 164TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1121
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Country | US
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Telephone | 718-883-4314
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Fax | 718-883-6100
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Provider Business Mailing Address
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Address Line | 82-68 164TH STREET QUEENS HOSPITAL CENTER
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City | JAMAICA
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State | NY
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Zip | 11432
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Country | US
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Telephone | 718-883-2090
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Fax | 718-883-6100
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 237515
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License Number State | NY
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