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General NPI Number Information
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NPI Number | 1982097861
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Entity Type | Organization
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Legal Business Name | AMY WU THERAPY, LTD.
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 5225 OLD ORCHARD RD. SUITE 10
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City | SKOKIE
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State | IL
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Zip | 60077
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Country | US
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Telephone | 646-464-2556
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Fax |
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Provider Business Mailing Address
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Address Line | 5225 OLD ORCHARD RD. SUITE 10
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City | SKOKIE
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State | IL
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Zip | 60077
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Country | US
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Telephone | 646-464-2556
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | AMY WU
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Credential | MS, LMFT
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Telephone | 646-464-2556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 166.000964
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License Number State | IL
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