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General NPI Number Information
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NPI Number | 1396729026
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Entity Type | Organization
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Legal Business Name | DR JENNIFER S WU PC
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 663 MAIN ST
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City | MELROSE
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State | MA
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Zip | 02176-3139
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Country | US
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Telephone | 781-665-1985
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Fax | 781-665-0226
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Provider Business Mailing Address
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Address Line | 663 MAIN ST
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City | MELROSE
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State | MA
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Zip | 02176-3139
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Country | US
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Telephone | 781-665-1985
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Fax | 781-665-0226
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER WU
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Credential |
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Telephone | 781-665-1985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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