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General NPI Number Information
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NPI Number | 1265695597
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Entity Type | Individual
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Provider Name | JENNY TU DDS
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Gender | Female
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 3735 DAVIS DR STE 125
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City | MORRISVILLE
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State | NC
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Zip | 27560-8907
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Country | US
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Telephone | 919-439-9998
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Fax | 919-439-6299
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Provider Business Mailing Address
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Address Line | 221 CRESTSTONE DR
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City | CARY
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State | NC
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Zip | 27519-7707
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Country | US
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Telephone | 646-345-1164
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 049006
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8908
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License Number State | NC
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