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General NPI Number Information
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NPI Number | 1114953841
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Entity Type | Individual
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Provider Name | WERNER W. JU M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 13847 E 14TH ST STE 218
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City | SAN LEANDRO
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State | CA
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Zip | 94578
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Country | US
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Telephone | 510-483-0312
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Fax |
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Provider Business Mailing Address
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Address Line | 6399 SAN IGNACIO AVE STE 120
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City | SAN JOSE
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State | CA
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Zip | 95119-1215
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G42898
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License Number State | CA
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