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General NPI Number Information
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NPI Number | 1588609572
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Entity Type | Individual
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Provider Name | JEAN WOO MD MPH MBA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVENUE, WARD 94 SAN FRANCISCO GENERAL HOSPITAL
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City | SAN FRANCISCO
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State | CA
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Zip | 94110
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Country | US
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Telephone | 415-206-8524
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Fax | 415-206-4565
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Provider Business Mailing Address
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Address Line | 1442A WALNUT ST # 368
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City | BERKELEY
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State | CA
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Zip | 94709-1405
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Country | US
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Telephone | 510-295-3531
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G51082
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G51082
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License Number State | CA
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