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General NPI Number Information
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NPI Number | 1275608945
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Entity Type | Individual
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Provider Name | TONY WOO DDS
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 92 HIGH ST. UNIT DH 26
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City | MEDFORD
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State | MA
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Zip | 02155
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Country | US
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Telephone | 781-306-0001
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Fax | 781-306-9898
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Provider Business Mailing Address
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Address Line | 92 HIGH ST UNIT DH 26
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City | MEDFORD
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State | MA
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Zip | 02155-3850
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Country | US
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Telephone | 781-306-0001
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Fax | 781-306-9898
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 18947
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License Number State | MA
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