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General NPI Number Information
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NPI Number | 1164895843
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Entity Type | Organization
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Legal Business Name | LING L WU PSYD LLC
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 15807 CRABBS BRANCH WAY STE A
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City | ROCKVILLE
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State | MD
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Zip | 20855-6643
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Country | US
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Telephone | 240-285-0047
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Fax | 301-668-3706
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Provider Business Mailing Address
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Address Line | 9357 BARRINGTON CT
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City | FREDERICK
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State | MD
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Zip | 21701-7695
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Country | US
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Telephone | 240-285-0047
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Fax | 301-668-3706
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LING L WU
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Credential | PSY.D.
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Telephone | 240-285-0047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04539
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License Number State | MD
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