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General NPI Number Information
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NPI Number | 1699975144
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Entity Type | Organization
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Legal Business Name | MING-WEI WU, INC
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 3750 S JONES BLVD STE 120
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City | LAS VEGAS
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State | NV
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Zip | 89103-2209
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Country | US
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Telephone | 702-434-8880
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Fax | 702-862-8880
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Provider Business Mailing Address
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Address Line | 3750 S JONES BLVD STE 120
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City | LAS VEGAS
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State | NV
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Zip | 89103-2209
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Country | US
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Telephone | 702-434-8880
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Fax | 702-862-8880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MING-WEI WU
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Credential | D.O.
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Telephone | 702-419-8394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 1229
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License Number State | NV
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