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General NPI Number Information
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NPI Number | 1437449485
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Entity Type | Organization
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Legal Business Name | FLUSHING FOOT SPECIALISTS, LLC
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 210 CANAL ST SUITE 406
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City | NEW YORK
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State | NY
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Zip | 10013-4155
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Country | US
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Telephone | 212-385-1888
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Fax |
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Provider Business Mailing Address
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Address Line | 13338 41ST RD SUITE 2L
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City | FLUSHING
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State | NY
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Zip | 11355-3782
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Country | US
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Telephone | 718-886-9086
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. HENRY WU
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Credential | D.P.M.
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Telephone | 917-838-9873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | N006109
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License Number State | NY
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