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General NPI Number Information
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NPI Number | 1548440340
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Entity Type | Individual
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Provider Name | QINGXUAN WU MD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 11212 STATE HIGHWAY 151 MEDICAL PLAZA 1, STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4498
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Country | US
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Telephone | 210-520-7160
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Fax | 210-520-7190
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Provider Business Mailing Address
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Address Line | 11212 STATE HIGHWAY 151 MEDICAL PLAZA 1, STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4498
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Country | US
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Telephone | 210-520-7160
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Fax | 210-520-7190
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | N0567
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License Number State | TX
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