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General NPI Number Information
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NPI Number | 1588758015
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Entity Type | Individual
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Provider Name | KARL K. WU DDS
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 3530 SUNSET MEADOWS DR #108
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City | PEARLAND
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State | TX
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Zip | 77581-8865
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Country | US
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Telephone | 281-648-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 225 FLUOR DANIEL DR APT 3308
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City | SUGAR LAND
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State | TX
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Zip | 77479-4021
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Country | US
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Telephone | 646-662-1734
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 051472-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23688
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 9211
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9211
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License Number State | NC
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