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General NPI Number Information
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NPI Number | 1841346343
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Entity Type | Individual
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Provider Name | JENNIFER TSAI PIN WU DDS
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7520 W WASHINGTON AVE SUITE 120
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City | LAS VEGAS
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State | NV
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Zip | 89128-4330
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Country | US
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Telephone | 702-363-1590
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Fax | 702-363-1172
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Provider Business Mailing Address
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Address Line | 300 N ROYAL ASCOT DR
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City | LAS VEGAS
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State | NV
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Zip | 89144-4306
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Country | US
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Telephone | 702-480-9361
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Fax | 702-363-1172
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3515
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License Number State | NV
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