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General NPI Number Information
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NPI Number | 1255345401
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Entity Type | Individual
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Provider Name | AMY C WU M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 10666 N TORREY PINES RD # MC100C SCRIPPS CLINIC MEDICAL GROUP, DEPT OF RADIOLOGY
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City | LA JOLLA
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State | CA
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Zip | 92037-1027
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Country | US
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Telephone | 858-554-2626
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Fax |
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Provider Business Mailing Address
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Address Line | FILE # 54433
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City | LOS ANGELES
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State | CA
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Zip | 90074-0001
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A82651
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License Number State | CA
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