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General NPI Number Information
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NPI Number | 1154651156
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Entity Type | Individual
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Provider Name | SUNSHINE WU FISHER L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 2001 WINWARD WAY SUITE 200
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City | SAN MATEO
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State | CA
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Zip | 94404-2469
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Country | US
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Telephone | 650-931-1832
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Fax | 650-931-1897
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Provider Business Mailing Address
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Address Line | 74 CRESTLINE DR APT 9
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-3421
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Country | US
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Telephone | 415-269-3286
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 26228
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License Number State | CA
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