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General NPI Number Information
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NPI Number | 1235750282
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Entity Type | Organization
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Legal Business Name | DR CHO ACUPUNCTURE CLINIC LLC
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 02/16/2025
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Provider Practice Location Address
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Address Line | 2915 PROFESSIONAL PKWY STE D
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City | AUGUSTA
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State | GA
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Zip | 30907-6521
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Country | US
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Telephone | 706-206-3397
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Fax | 706-786-0777
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Provider Business Mailing Address
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Address Line | 2915 PROFESSIONAL PKWY STE D
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City | AUGUSTA
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State | GA
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Zip | 30907-6521
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Country | US
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Telephone | 706-206-3397
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Fax | 706-786-0777
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Authorized Official
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Title or Position | CEO
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Name | DR. KYUNGHO CHO
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Credential | DAOM, LAC
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Telephone | 706-206-3397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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