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General NPI Number Information
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NPI Number | 1861498107
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Entity Type | Organization
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Legal Business Name | WUU SHYONG WU M.D.
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 101 E BEVERLY BLVD STE 201
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City | MONTEBELLO
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State | CA
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Zip | 90640-4315
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Country | US
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Telephone | 323-722-5163
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Fax | 323-724-6869
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Provider Business Mailing Address
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Address Line | 101 E BEVERLY BLVD SUITE 201
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City | MONTEBELLO
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State | CA
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Zip | 90640
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Country | US
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Telephone | 323-722-5163
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Fax | 323-724-6869
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | MR. WUU SHYONG WU SR.
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Credential | M.D.
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Telephone | 323-722-5163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State | CA
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