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General NPI Number Information
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NPI Number | 1144469784
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Entity Type | Individual
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Provider Name | SUNG W CHO D.D.S
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Gender | Male
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 11005 RALSTON RD SUITE 202
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City | ARVADA
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State | CO
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Zip | 80004-4551
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Country | US
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Telephone | 303-360-6276
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Fax | 303-762-6552
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Provider Business Mailing Address
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Address Line | 3701 S BROADWAY
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3611
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Country | US
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Telephone | 303-360-6276
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Fax | 303-467-5355
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN.00009876
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License Number State | CO
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