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General NPI Number Information
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NPI Number | 1831715879
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Entity Type | Individual
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Provider Name | FRANK JAY WU LAC
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Gender | Male
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 5621 MARATHON PKWY STE 2
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City | LITTLE NECK
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State | NY
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Zip | 11362-2037
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Country | US
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Telephone | 516-441-2633
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Fax | 718-691-7010
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Provider Business Mailing Address
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Address Line | PO BOX 620789
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City | LITTLE NECK
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State | NY
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Zip | 11362
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Country | US
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Telephone | 516-469-7478
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Fax | 718-691-7010
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 006774
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License Number State | NY
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