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General NPI Number Information
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NPI Number | 1255621322
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Entity Type | Organization
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Legal Business Name | CHO KIDNEY & HYPERTENSION CENTER
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 08/20/2012
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Provider Practice Location Address
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Address Line | 7375 PRAIRIE FALCON RD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89128-0810
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Country | US
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Telephone | 702-664-7676
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Fax | 702-948-5591
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Provider Business Mailing Address
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Address Line | 7375 PRAIRIE FALCON RD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89128-0810
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Country | US
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Telephone | 702-664-7676
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Fax | 702-948-5591
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES CHO
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Credential | M.D.
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Telephone | 702-528-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 13530
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 13530
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License Number State | NV
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