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General NPI Number Information
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NPI Number | 1518592914
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Entity Type | Organization
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Legal Business Name | JESSE WOO MD INC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 1818 N ORANGE GROVE AVE STE 303
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City | POMONA
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State | CA
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Zip | 91767-3028
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Country | US
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Telephone | 909-469-0890
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Fax | 909-460-0890
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Provider Business Mailing Address
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Address Line | 1818 N ORANGE GROVE AVE STE 303
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City | POMONA
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State | CA
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Zip | 91767-3028
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Country | US
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Telephone | 909-469-0890
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Fax | 909-469-0909
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSE WOO
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Credential | MD
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Telephone | 94-690-8909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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