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General NPI Number Information
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NPI Number | 1528486297
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Entity Type | Individual
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Provider Name | WILLIAM JERRY LU MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1823 UNION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4307
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Country | US
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Telephone | 415-590-6148
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Fax |
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Provider Business Mailing Address
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Address Line | 130 SUTTER ST FL 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-4009
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Country | US
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Telephone | 415-658-6791
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME171206
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A147095
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 04-50772
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | A147095
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License Number State | CA
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