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General NPI Number Information
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NPI Number | 1326280942
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Entity Type | Organization
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Legal Business Name | JAMES H. KO, M.D., LLC
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 03/27/2009
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Provider Practice Location Address
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Address Line | 177 N DEAN ST SUITE 201
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2533
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Country | US
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Telephone | 215-840-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 177 N DEAN ST SUITE 201
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2533
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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 | MEMBER
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Name | JAMES KO
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Credential | M.D.
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Telephone | 215-840-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA08498800
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License Number State | NJ
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