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General NPI Number Information
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NPI Number | 1427005891
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Entity Type | Individual
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Provider Name | VISOTH CHHIAP M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18550 DE PAUL DR SUITE 204
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City | MORGAN HILL
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State | CA
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Zip | 95037-2911
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Country | US
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Telephone | 408-779-1772
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Fax | 408-779-1050
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Provider Business Mailing Address
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Address Line | 18550 DE PAUL DRIVE SUITE 204
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City | MORGAN HILL
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State | CA
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Zip | 95037-2911
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Country | US
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Telephone | 408-779-1772
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Fax | 408-779-1050
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A66992
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License Number State | CA
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