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General NPI Number Information
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NPI Number | 1376539791
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Entity Type | Individual
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Provider Name | KELVIN LIN-YU CHOU MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 4260 PLYMOUTH RD
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City | ANN ARBOR
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State | MI
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Zip | 48109-2700
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Country | US
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Telephone | 734-764-6831
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 S STATE ST 700 KMS PLACE
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City | ANN ARBOR
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State | MI
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Zip | 48108
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Country | US
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Telephone | 734-936-2047
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD11423
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301091116
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License Number State | MI
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