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General NPI Number Information
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NPI Number | 1386078491
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Entity Type | Organization
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Legal Business Name | JEFFREY V. CHOU, DPM
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 117 S HUBBARDS LN
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City | LOUISVILLE
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State | KY
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Zip | 40207-3900
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Country | US
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Telephone | 502-895-3840
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Fax | 502-897-3642
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Provider Business Mailing Address
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Address Line | PO BOX 43102
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City | LOUISVILLE
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State | KY
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Zip | 40253-0102
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Country | US
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Telephone | 270-433-5806
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Fax | 270-433-2443
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY V CHOU
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Credential | DPM
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Telephone | 270-433-5806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 00193
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License Number State | KY
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