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General NPI Number Information
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NPI Number | 1205190337
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Entity Type | Individual
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Provider Name | YUNG-KANG CHOW M.D., A.M.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2012
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Last Update Date | 07/04/2012
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Provider Practice Location Address
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Address Line | 19492 SIERRA RATON RD
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City | IRVINE
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State | CA
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Zip | 92603-3825
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Country | US
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Telephone | 818-667-9860
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Fax |
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Provider Business Mailing Address
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Address Line | 19492 SIERRA RATON RD
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City | IRVINE
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State | CA
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Zip | 92603-3825
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Country | US
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Telephone | 818-667-9860
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | A62873
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A62873
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License Number State | CA
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