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General NPI Number Information
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NPI Number | 1114984101
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Entity Type | Individual
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Provider Name | MR. CHU HYON SOH
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 374 MDOS/SGOSY UNIT 5227
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City | APO
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State | AP
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Zip | 96328
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Country | JP
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Telephone | 011813117557577
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 78 BOX 1506
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City | APO
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State | AP
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Zip | 96326
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Country | JP
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Telephone | 011813117572395
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 4798
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License Number State | CO
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