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General NPI Number Information
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NPI Number | 1902283401
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Entity Type | Individual
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Provider Name | DANNY DA HUI WU PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | USA MEDDAC 11050 MOUNT BELVEDERE BOULEVARD
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City | FORT DRUM
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State | NY
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Zip | 13602-5004
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Country | US
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Telephone | 157-741-4083
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Fax |
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Provider Business Mailing Address
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Address Line | USA MEDDAC 11050 MOUNT BELVEDERE BOULEVARD
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City | FORT DRUM
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State | NY
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Zip | 13602-5004
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Country | US
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Telephone | 315-774-1408
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 024623
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License Number State | NY
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