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General NPI Number Information
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NPI Number | 1033265491
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Entity Type | Individual
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Provider Name | JENNIFER EUN SUN CHO M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 106 GRAND AVE STE 300
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3565
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Country | US
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Telephone | 201-608-0670
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Fax | 201-781-7821
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Provider Business Mailing Address
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Address Line | PO BOX 899
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City | ALPINE
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State | NJ
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Zip | 07620-0899
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Country | US
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Telephone | 516-589-1071
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Fax | 201-781-7822
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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 | 248247
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA09785100
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License Number State | NJ
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