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General NPI Number Information
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NPI Number | 1679430359
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Entity Type | Individual
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Provider Name | KATHERINE INHYUK WOO SNYDER
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 995 GATEWAY CENTER WAY STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92102-4550
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Country | US
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Telephone | 619-398-2156
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 MORENA BLVD STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92110-3842
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Country | US
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Telephone | 619-275-0822
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95418761
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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