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General NPI Number Information
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NPI Number | 1225258148
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Entity Type | Individual
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Provider Name | JENNIFER WU DDS
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1710 ALTAMONT AVE
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City | SCHENECTADY
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State | NY
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Zip | 12303-2137
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Country | US
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Telephone | 518-356-3300
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Fax | 315-356-8003
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Provider Business Mailing Address
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Address Line | PO BOX 3189
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City | SYRACUSE
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State | NY
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Zip | 13220-3189
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Country | US
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Telephone | 315-454-6000
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Fax | 315-454-8650
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 050947-1
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License Number State | NY
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