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NPI 1285138289

NPI 1285138289 : CHEN WU MD : MANSFIELD, TX

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General NPI Number Information
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    NPI Number           |    1285138289
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    Entity Type          |    Individual 
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    Provider Name        |    CHEN WU MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/23/2018
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    1021 MATLOCK RD STE 101 
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    City                 |    MANSFIELD
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    State                |    TX
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    Zip                  |    76063-6567
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    Country              |    US
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    Telephone            |    817-267-6290
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    Fax                  |    817-267-0950
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Provider Business Mailing Address
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    Address Line         |    3030 HARWOOD RD STE 100 
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    City                 |    BEDFORD
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    State                |    TX
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    Zip                  |    76021-3703
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    Country              |    US
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    Telephone            |    817-267-6290
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    Fax                  |    817-267-0950
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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        |    2084S0012X
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    Taxonomy Name        |    Sleep Medicine (Psychiatry & Neurology) Physician
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    License Number       |    U1573
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    U1573
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    License Number State |    TX
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