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General NPI Number Information
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NPI Number | 1699430801
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Entity Type | Individual
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Provider Name | FIONA WU PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 3071 E MAIN ST
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1542
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Country | US
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Telephone | 665-091-4526
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Fax |
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Provider Business Mailing Address
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Address Line | 2865 W 23RD ST
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City | BROOKLYN
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State | NY
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Zip | 11224-2356
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Country | US
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Telephone | 646-321-6791
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 068481
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License Number State | NY
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