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General NPI Number Information
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NPI Number | 1063883585
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Entity Type | Individual
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Provider Name | CHARL HWAN WOO DO
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Gender | Male
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 12/22/2024
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Provider Practice Location Address
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Address Line | 2525 SW 75TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-2800
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Country | US
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Telephone | 305-262-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 WOODSTEAD CT STE 208
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City | SPRING
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State | TX
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Zip | 77380-1480
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Country | US
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Telephone | 281-724-3050
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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 | OS18809
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2016-02336
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OS18809
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | OS18809
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License Number State | FL
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