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General NPI Number Information
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NPI Number | 1801088596
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Entity Type | Individual
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Provider Name | ROGER DONALD WU MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 137 W HIGH ST SUITE 2B
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City | ELKTON
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State | MD
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Zip | 21921-8600
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Country | US
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Telephone | 410-398-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WAYLAND RD
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City | WILMINGTON
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State | DE
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Zip | 19807-2530
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Country | US
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Telephone | 570-906-0763
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT191250
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C1-0013600
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | D0075162
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D75162
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License Number State | MD
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