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General NPI Number Information
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NPI Number | 1750793360
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Entity Type | Individual
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Provider Name | MONICA WU DDS
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Gender | Female
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Dates
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Enumeration Date | 05/30/2014
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 670 RIVEROAKS PARKWAY SUITE J
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City | SAN JOSE
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State | CA
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Zip | 95134-9513
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Country | US
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Telephone | 408-894-8140
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Fax |
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Provider Business Mailing Address
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Address Line | 1393 CABRILLO AVE
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City | SAN JOSE
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State | CA
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Zip | 95132-2210
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Country | US
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Telephone | 571-242-5592
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 63108
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 63108
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License Number State | CA
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