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General NPI Number Information
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NPI Number | 1992421812
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Entity Type | Organization
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Legal Business Name | GENTLE DENTAL DR PETER WU LTD
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 8180 BRECKSVILLE RD STE 201
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City | BRECKSVILLE
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State | OH
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Zip | 44141-1353
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Country | US
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Telephone | 440-526-8151
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Fax | 440-792-4786
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Provider Business Mailing Address
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Address Line | 7629 LINDSAY LN
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City | SOLON
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State | OH
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Zip | 44139-5579
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Country | US
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Telephone | 216-543-3591
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. KUO-KUANG WU
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Credential | DENTIST
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Telephone | 216-543-3591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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