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General NPI Number Information
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NPI Number | 1154408953
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Entity Type | Individual
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Provider Name | XIAOWEN WU MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10800 JONES BRIDGE RD STE A
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City | ALPHARETTA
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State | GA
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Zip | 30022
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Country | US
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Telephone | 678-867-0135
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Fax | 678-867-0137
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Provider Business Mailing Address
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Address Line | 10800 JONES BRIDGE ROAD SUITE A
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City | ALPHARETTA
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State | GA
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Zip | 30022
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Country | US
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Telephone | 678-867-0135
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Fax | 678-867-0137
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 49124
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License Number State | GA
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