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General NPI Number Information
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NPI Number | 1245557347
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Entity Type | Individual
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Provider Name | ALICE WUU MD
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Gender | Female
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 6600 BRYANT IRVIN RD
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City | FT WORTH
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State | TX
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Zip | 76132-4217
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Country | US
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Telephone | 817-820-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 4166 BOULDER PARK DR
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City | EULESS
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State | TX
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Zip | 76040-8516
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Country | US
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Telephone | 832-567-6159
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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