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General NPI Number Information
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NPI Number | 1104061357
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Entity Type | Individual
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Provider Name | JOONG HYUN CHO LAC
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Gender | Male
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 1001 PACIFIC ST STE D
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City | MONTEREY
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State | CA
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Zip | 93940-4455
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Country | US
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Telephone | 831-375-0377
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Fax | 831-375-0377
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Provider Business Mailing Address
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Address Line | 958 WANDA AVE APT B
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City | SEASIDE
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State | CA
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Zip | 93955-5330
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Country | US
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Telephone | 714-595-0377
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC12648
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License Number State | CA
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