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General NPI Number Information
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NPI Number | 1275834947
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Entity Type | Individual
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Provider Name | MRS. CHIUYING KO
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Gender | Female
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 1815 OLD 41 HWY NW STE 140 1815 OLD 41 HWY NW STE 140
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City | KENNESAW
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State | GA
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Zip | 30152-4422
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Country | US
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Telephone | 770-218-1456
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 OLD 41 HWY NW STE 140
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City | KENNESAW
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State | GA
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Zip | 30152-4422
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Country | US
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Telephone | 770-218-1456
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | GA000191
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License Number State | GA
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