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General NPI Number Information
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NPI Number | 1083927586
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Entity Type | Individual
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Provider Name | EDRIC BRIAN CHO PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 720 SUTTON WAY
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5393
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Country | US
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Telephone | 530-273-7399
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Fax |
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Provider Business Mailing Address
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Address Line | 15568 KESON PL
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City | GRASS VALLEY
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State | CA
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Zip | 95949-9787
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Country | US
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Telephone | 916-201-2025
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Fax | 530-272-6688
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 38333
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License Number State | CA
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