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General NPI Number Information
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NPI Number | 1144475617
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Entity Type | Individual
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Provider Name | WENCHOU WU D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 51 W 51ST ST
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City | NEW YORK
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State | NY
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Zip | 10019-6113
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Country | US
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Telephone | 205-261-3240
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Fax |
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Provider Business Mailing Address
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Address Line | 630 W 168TH ST PH 7 ROOM 7-119
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 646-317-1756
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 000142-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 000142-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DENT.DE.60055554
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License Number State | WA
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