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General NPI Number Information
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NPI Number | 1720070113
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Entity Type | Individual
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Provider Name | JAMES C WU M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | 1800 SULLIVAN AVE STE 411
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City | DALY CITY
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State | CA
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Zip | 94015-2228
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Country | US
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Telephone | 650-994-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 SULLIVAN AVE STE 411
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City | DALY CITY
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State | CA
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Zip | 94015-2228
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Country | US
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Telephone | 650-994-3223
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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 | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | A91181
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 218786-1
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License Number State | NY
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