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General NPI Number Information
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NPI Number | 1164875001
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Entity Type | Organization
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Legal Business Name | STEPHEN S. CHO, DDS, PLLC
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Dates
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Enumeration Date | 07/15/2016
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Last Update Date | 07/15/2016
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Provider Practice Location Address
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Address Line | 451 DUVALL AVE NE SUITE 220
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City | RENTON
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State | WA
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Zip | 98059-4675
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Country | US
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Telephone | 425-430-4450
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Fax | 425-430-4451
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Provider Business Mailing Address
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Address Line | 451 DUVALL AVE NE SUITE 220
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City | RENTON
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State | WA
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Zip | 98059-4675
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Country | US
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Telephone | 425-430-4450
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Fax | 425-430-4451
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Authorized Official
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Title or Position | MEMBER DENTIST
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Name | DR. STEPHEN CHO
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Credential | DDS
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Telephone | 425-430-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00008821
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License Number State | WA
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