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General NPI Number Information
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NPI Number | 1801122957
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Entity Type | Individual
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Provider Name | JUDY WU MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2009
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 15333 N PIMA RD STE 305
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2717
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Country | US
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Telephone | 901-436-1831
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Fax |
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Provider Business Mailing Address
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Address Line | 4550 E COCHISE RD
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City | PHOENIX
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State | AZ
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Zip | 85028-4238
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Country | US
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Telephone | 626-922-3778
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Fax | 623-882-1683
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.098778
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License Number State | OH
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