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General NPI Number Information
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NPI Number | 1558637660
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Entity Type | Organization
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Legal Business Name | CHIEN-KO WU M.D. AND MEEI-LING T WU M.D. INC
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 991 N TUSTIN ST STE 101
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City | ORANGE
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State | CA
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Zip | 92867-5900
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Country | US
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Telephone | 714-639-6162
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Fax | 714-639-5835
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Provider Business Mailing Address
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Address Line | 991 N TUSTIN ST STE 101
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City | ORANGE
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State | CA
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Zip | 92867-5900
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Country | US
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Telephone | 714-639-6162
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Fax | 714-639-5835
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHIEN-KO WU
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Credential | M.D.
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Telephone | 714-639-6162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A38491
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License Number State | CA
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