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General NPI Number Information
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NPI Number | 1841498193
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Entity Type | Individual
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Provider Name | WENDELL WU M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 4850 MARK CENTER DR
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1882
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Country | US
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Telephone | 703-746-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 MARK CENTER DR
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1882
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Country | US
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Telephone | 703-746-3400
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD036594
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0070790
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101258928
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101258928
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License Number State | VA
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