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General NPI Number Information
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NPI Number | 1770710022
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Entity Type | Individual
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Provider Name | JESSE X. WOO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2009
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Last Update Date | 10/27/2022
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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 | 909-469-0909
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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 |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C162865
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License Number State | CA
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