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General NPI Number Information
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NPI Number | 1639663875
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Entity Type | Individual
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Provider Name | STANLEY WU DACM, LAC
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Gender | Male
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 2071 ANTIOCH CT STE 201
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City | OAKLAND
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State | CA
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Zip | 94611-2955
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Country | US
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Telephone | 510-519-7495
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Fax |
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Provider Business Mailing Address
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Address Line | 6034 VALLEY VIEW RD
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City | OAKLAND
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State | CA
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Zip | 94611-2026
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Country | US
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Telephone | 510-898-8800
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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