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General NPI Number Information
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NPI Number | 1215700372
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Entity Type | Organization
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Legal Business Name | AMOS CHON DC PLLC
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 27641 COVINGTON WAY SE # 2
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City | COVINGTON
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State | WA
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Zip | 98042-9120
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Country | US
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Telephone | 253-630-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 25339 128TH AVE SE
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City | KENT
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State | WA
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Zip | 98030-6605
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Country | US
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Telephone | 406-270-7614
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Fax |
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Authorized Official
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Title or Position | MANAGER/CHIROPRACTOR
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Name | DR. AMOS YOUNG WON CHON
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Credential | DC
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Telephone | 406-270-7614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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