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General NPI Number Information
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NPI Number | 1427247089
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Entity Type | Organization
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Legal Business Name | TSE SHIUNG WU MD PA
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 187 THOMAS JOHNSON DR #1
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City | FREDERICK
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State | MD
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Zip | 21702-4503
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Country | US
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Telephone | 301-663-0131
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Fax | 301-698-9449
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Provider Business Mailing Address
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Address Line | 187 THOMAS JOHNSON DR #1
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City | FREDERICK
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State | MD
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Zip | 21702-4503
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Country | US
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Telephone | 301-663-0131
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Fax | 301-698-9449
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | FAITH CREGGER
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Credential |
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Telephone | 301-663-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | D0014768
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License Number State | MD
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