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General NPI Number Information
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NPI Number | 1003159674
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Entity Type | Individual
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Provider Name | JENNIFER ANNE SOO HOO MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 525 E 68TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 525 E 68TH ST FL 16
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-1500
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ML60380159
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 125.069781
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 292907-1
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License Number State | NY
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