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General NPI Number Information
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NPI Number | 1598745069
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Entity Type | Individual
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Provider Name | HSILONG WU D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 185 PARK ROW SUITE 9
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City | NEW YORK
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State | NY
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Zip | 10038-5000
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Country | US
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Telephone | 212-732-1329
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Fax | 212-732-6005
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Provider Business Mailing Address
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Address Line | 2212 CITY PL
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City | EDGEWATER
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State | NJ
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Zip | 07020-3155
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Country | US
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Telephone | 201-266-0623
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Fax | 608-541-5400
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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 | 052569
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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 | 22DI02306500
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License Number State | NJ
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