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General NPI Number Information
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NPI Number | 1225597198
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Entity Type | Individual
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Provider Name | JESSICA TU MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 55 WATER ST FL 46
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City | NEW YORK
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State | NY
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Zip | 10041-3211
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Country | US
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Telephone | 212-649-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 185 S ORANGE AVE
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City | NEWARK
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State | NJ
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Zip | 07103-2757
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Country | US
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Telephone | 732-445-4636
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 314323
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 324313
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License Number State | NY
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