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General NPI Number Information
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NPI Number | 1336561786
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Entity Type | Organization
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Legal Business Name | YING WU DDS PLLC
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Dates
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Enumeration Date | 01/19/2014
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Last Update Date | 01/19/2014
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Provider Practice Location Address
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Address Line | 416 NE 87TH AVE STE 3
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City | VANCOUVER
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State | WA
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Zip | 98664-1930
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Country | US
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Telephone | 360-891-3020
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Fax | 360-891-5992
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Provider Business Mailing Address
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Address Line | 618 ATWATER RD
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-2118
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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 | MEMBER
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Name | DR. YING WU
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Credential | DDS
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Telephone | 971-202-2618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DE60015119
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License Number State | WA
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