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General NPI Number Information
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NPI Number | 1720197551
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Entity Type | Individual
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Provider Name | HARVEY WU DDS
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 3815 S OTHELLO ST 2ND FLOOR
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City | SEATTLE
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State | WA
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Zip | 98118-3510
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Country | US
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Telephone | 206-788-3558
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24911
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City | SEATTLE
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State | WA
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Zip | 98124-0911
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Country | US
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Telephone | 206-788-3683
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00009144
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License Number State | WA
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