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General NPI Number Information
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NPI Number | 1831278290
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Entity Type | Individual
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Provider Name | JIANN-JANG WU BMD, MS
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 201 N LAKEMONT AVE SUITE 2400
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City | WINTER PARK
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State | FL
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Zip | 32792-3208
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Country | US
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Telephone | 407-647-4773
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Fax | 407-647-4548
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Provider Business Mailing Address
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Address Line | 201 N LAKEMONT AVE SUITE 2400
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City | WINTER PARK
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State | FL
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Zip | 32792-3208
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Country | US
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Telephone | 407-647-4773
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Fax | 407-647-4548
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN0011535
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License Number State | FL
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