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General NPI Number Information
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NPI Number | 1760788731
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Entity Type | Individual
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Provider Name | DR. JENNY SO
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Gender | Female
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 142 S MAIN ST
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City | DANVILLE
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State | VA
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Zip | 24541
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Country | US
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Telephone | 434-799-2225
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Fax | 434-773-7924
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Provider Business Mailing Address
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Address Line | 1518 10TH AVE APT A
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City | BROOKLYN
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State | NY
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Zip | 11215
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Country | US
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Telephone | 646-912-1167
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | C1-0012038
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101254671
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME121925
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME121925
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License Number State | FL
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Taxonomy #5
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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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