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General NPI Number Information
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NPI Number | 1154784957
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Entity Type | Organization
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Legal Business Name | VPW NEUROLOGY P.C.
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 420 S RIVERSIDE AVE # 198
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-3055
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Country | US
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Telephone | 347-987-1168
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Fax |
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Provider Business Mailing Address
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Address Line | 420 S RIVERSIDE AVE # 198
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City | CROTON ON HUDSON
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State | NY
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Zip | 10520-3055
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Country | US
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Telephone | 347-987-1168
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WINFRED WU
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Credential | M.D.
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Telephone | 347-987-1168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A-247623
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License Number State | NY
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