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General NPI Number Information
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NPI Number | 1821884883
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Entity Type | Organization
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Legal Business Name | EXECUTIVE MEDICAL PHYSICS ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 19470 NE 22ND RD
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-3666
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Country | US
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Telephone | 305-775-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 19470 NE 22ND RD
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-3666
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Country | US
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Telephone | 305-775-0333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. XIAODONG WU
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Credential | PHD
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Telephone | 305-775-0333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0205X
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Taxonomy Name | Radiological Physics Physician
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License Number |
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License Number State |
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