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General NPI Number Information
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NPI Number | 1447112446
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Entity Type | Organization
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Legal Business Name | SERENA WU MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/27/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 1394 PARK AVE
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City | EMERYVILLE
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State | CA
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Zip | 94608-3537
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Country | US
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Telephone | 510-859-4857
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Fax | 845-286-1931
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Provider Business Mailing Address
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Address Line | 3215 IDAHO ST
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City | BERKELEY
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State | CA
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Zip | 94702-2611
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Country | US
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Telephone | 510-859-4857
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Fax | 845-286-1931
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Authorized Official
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Title or Position | OWNER
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Name | SERENA WU
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Credential | MD
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Telephone | 267-226-9634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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