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General NPI Number Information
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NPI Number | 1285701854
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Entity Type | Individual
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Provider Name | ANGELA FRANCES SOOHOO M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 525 SOUTH DR SUITE 215
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4213
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Country | US
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Telephone | 650-967-7471
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Fax | 650-967-8027
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Provider Business Mailing Address
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Address Line | 1419 CORDILLERAS AVE
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City | SAN CARLOS
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State | CA
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Zip | 94070-4623
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Country | US
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Telephone | 650-591-9616
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Fax | 650-591-9615
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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 | A055088
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License Number State | CA
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