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General NPI Number Information
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NPI Number | 1053512566
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Entity Type | Individual
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Provider Name | CHARLES CHO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 505 S VIRGIL AVE STE. 301
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City | LOS ANGELES
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State | CA
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Zip | 90020-1406
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Country | US
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Telephone | 213-674-8282
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Fax | 213-232-7013
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Provider Business Mailing Address
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Address Line | 505 S VIRGIL AVE STE. 301
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City | LOS ANGELES
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State | CA
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Zip | 90020-1406
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Country | US
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Telephone | 213-674-8282
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Fax | 213-232-7013
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 75694
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 13530
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License Number State | NV
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