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General NPI Number Information
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NPI Number | 1770601692
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Entity Type | Individual
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Provider Name | LEESTER D WU MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 1 HEALTHY WAY RADIATION ONCOLOGY - SNCH
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City | OCEANSIDE
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State | NY
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Zip | 11572-1551
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Country | US
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Telephone | 516-632-3370
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Fax | 516-336-2930
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Provider Business Mailing Address
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Address Line | PO BOX 5670
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City | HICKSVILLE
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State | NY
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Zip | 11802-5670
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Country | US
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Telephone | 516-632-3303
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Fax | 516-336-2930
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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 | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 239376
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License Number State | NY
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