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NPI 1104943158

NPI 1104943158 : HELEN WU MS, CCC-SLP : IRVINE, CA

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General NPI Number Information
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    NPI Number           |    1104943158
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    Entity Type          |    Individual 
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    Provider Name        |    HELEN WU MS, CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/23/2007
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    Last Update Date     |    08/03/2021
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Provider Practice Location Address
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    Address Line         |    4782 KAREN ANN LN 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92604-2439
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    Country              |    US
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    Telephone            |    949-878-7599
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    79 LIMEWOOD 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92614-7579
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    Country              |    US
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    Telephone            |    949-878-7599
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SP13899
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    License Number State |    CA
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