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General NPI Number Information
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NPI Number | 1386970960
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Entity Type | Individual
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Provider Name | DANDAN TU M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 1165 KING STREET GREENWICH WOODS REHABILITATION & HEALTH CARE CENTE
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City | GREENWICH
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State | CT
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Zip | 06831
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Country | US
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Telephone | 203-665-8193
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Fax |
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Provider Business Mailing Address
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Address Line | 24 BYFIELD LN
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City | GREENWICH
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State | CT
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Zip | 06830-3446
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Country | US
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Telephone | 203-665-8193
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 48212
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 255367
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License Number State | NY
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