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General NPI Number Information
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NPI Number | 1033731559
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Entity Type | Individual
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Provider Name | PATRICK CHO MD
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Gender | Male
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Dates
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Enumeration Date | 05/07/2020
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 1991 CHANTER RD
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City | JACKSON
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State | MI
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Zip | 49201-9865
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Country | US
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Telephone | 517-788-4482
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Fax | 517-768-5823
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Provider Business Mailing Address
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Address Line | 3635 NORTHBROOK DR
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City | SUPERIOR TOWNSHIP
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State | MI
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Zip | 48198-8704
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Country | US
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Telephone | 734-994-4887
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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 | 207ZF0201X
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Taxonomy Name | Forensic Pathology Physician
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License Number | 4301089553
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License Number State | MI
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