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General NPI Number Information
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NPI Number | 1780240234
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Entity Type | Organization
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Legal Business Name | JOW SPORTS MEDICINE PC
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 425 2ND ST STE 307
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1420
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Country | US
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Telephone | 415-480-4569
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Fax |
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Provider Business Mailing Address
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Address Line | 425 2ND ST STE 307
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1420
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Country | US
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Telephone | 415-480-4569
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VERONICA JOW
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Credential | MD
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Telephone | 617-216-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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