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General NPI Number Information
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NPI Number | 1396791489
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Entity Type | Organization
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Legal Business Name | STANLEY CHO DDS PLLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 620 M ST NE
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City | AUBURN
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State | WA
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Zip | 98002-4501
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Country | US
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Telephone | 253-833-9062
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Fax | 253-351-0503
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Provider Business Mailing Address
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Address Line | 620 M ST NE
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City | AUBURN
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State | WA
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Zip | 98002-4501
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Country | US
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Telephone | 253-833-9062
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Fax | 253-351-0503
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KELLY DIXON
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Credential |
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Telephone | 253-833-9062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00003554
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DE00003871
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DE00006154
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00005696
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00007992
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00006607
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE00007968
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License Number State | WA
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