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General NPI Number Information
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NPI Number | 1154013803
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Entity Type | Organization
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Legal Business Name | MING-WEI WU, INC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 135 S STATE COLLEGE BLVD
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City | BREA
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State | CA
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Zip | 92821-5823
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Country | US
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Telephone | 888-434-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 3750 S JONES BLVD STE 120
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City | LAS VEGAS
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State | NV
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Zip | 89103-2209
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Country | US
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Telephone | 888-434-8880
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Fax | 855-434-8880
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Authorized Official
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Title or Position | OWNER
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Name | MING-WEI DANIEL WU
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Credential |
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Telephone | 702-434-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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