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General NPI Number Information
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NPI Number | 1386818219
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Entity Type | Organization
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Legal Business Name | GENE Y. WOO, DDS
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 6400 SEVEN CORNERS PL. SUITE E
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2031
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Country | US
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Telephone | 703-237-0322
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 SEVEN CORNERS PL STE E
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2031
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Country | US
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Telephone | 703-237-0322
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GENE YEE WOO
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Credential | DDS
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Telephone | 703-237-0322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 401 0 5218
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License Number State | VA
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