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General NPI Number Information
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NPI Number | 1285063024
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Entity Type | Organization
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Legal Business Name | JESSICA CHO, O.D. LLC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 1088 BISHOP ST SUITE 100
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City | HONOLULU
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State | HI
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Zip | 96813-3141
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Country | US
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Telephone | 808-521-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 1088 BISHOP ST SUITE 100
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City | HONOLULU
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State | HI
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Zip | 96813-3141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | JESSICA CHO
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Credential | OD
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Telephone | 808-521-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 778
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License Number State | HI
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