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General NPI Number Information
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NPI Number | 1952389686
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Entity Type | Individual
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Provider Name | THEODORE LIN HAI WU M.D
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7703 FLOYD CURL DR MC 7829
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-562-5810
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Fax | 210-562-5200
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Provider Business Mailing Address
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Address Line | 7703 FLOYD CURL DR MC 7829
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-562-5800
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Fax | 210-562-5200
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | N4853
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 11509
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | A90766
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License Number State | CA
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