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General NPI Number Information
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NPI Number | 1891149126
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Entity Type | Individual
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Provider Name | EVAN WU MD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2016
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 6451 N FEDERAL HWY STE 800
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1409
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Country | US
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Telephone | 510-725-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 6451 N FEDERAL HWY STE 800
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1409
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Country | US
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Telephone | 510-725-0028
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | TEMP
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD487829
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD-22103
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD205832
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License Number State | OR
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