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General NPI Number Information
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NPI Number | 1992763916
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Entity Type | Individual
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Provider Name | QIONG WU MD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 3808 UNION ST APT 3J
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-321-3522
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Fax | 718-321-3533
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Provider Business Mailing Address
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Address Line | 15 ROUND HILL RD
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City | GREAT NECK
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State | NY
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Zip | 11020-1212
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Country | US
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Telephone | 718-321-3522
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Fax | 718-321-3533
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 232769
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License Number State | NY
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