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General NPI Number Information
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NPI Number | 1689746885
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Entity Type | Organization
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Legal Business Name | RONALD S.WU, MD APC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 1505 WILSON TER STE 220
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City | GLENDALE
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State | CA
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Zip | 91206-4071
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Country | US
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Telephone | 818-244-3572
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Fax | 818-244-8317
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Provider Business Mailing Address
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Address Line | PO BOX 9779
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City | GLENDALE
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State | CA
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Zip | 91226-0779
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Country | US
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Telephone | 818-244-3572
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Fax | 818-244-8317
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Authorized Official
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Title or Position | OWNER
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Name | RONALD S. WU
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Credential | MD
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Telephone | 818-244-3572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G16648
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License Number State | CA
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