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General NPI Number Information
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NPI Number | 1659536282
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Entity Type | Individual
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Provider Name | CHIA YING WU DMD
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Gender | Female
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 8078 DOUGLAS AVE
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City | URBANDALE
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State | IA
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Zip | 50322-2450
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Country | US
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Telephone | 515-207-4388
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 DOVER BAY DR
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City | CLIVE
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State | IA
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Zip | 50325-8324
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Country | US
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Telephone | 623-221-1346
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 054176
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS-09721
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D7763
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License Number State | AZ
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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 | 57263
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License Number State | CA
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