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General NPI Number Information
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NPI Number | 1366460339
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Entity Type | Individual
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Provider Name | ALBERT S WOO MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 335R PRAIRIE AVE STE 1A
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City | PROVIDENCE
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State | RI
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Zip | 02905-2426
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Country | US
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Telephone | 401-444-5685
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Fax |
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE C B 8238
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-362-7388
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Fax | 314-747-9987
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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 | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 2006020250
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 2006020250
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 2006020250
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 2006020250
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 2006020250
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | MD15214
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License Number State | RI
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