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General NPI Number Information
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NPI Number | 1477634467
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Entity Type | Organization
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Legal Business Name | CYNTHIA CHOW, M.D., P.C.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 1419 WALTON BLVD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1775
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Country | US
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Telephone | 248-651-1001
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Fax | 248-651-1002
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Provider Business Mailing Address
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Address Line | 1419 WALTON BLVD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1775
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Country | US
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Telephone | 248-651-1001
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Fax | 248-651-1002
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CYNTHIA CHOW
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Credential | M.D.
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Telephone | 248-651-1001
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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 | 4301025962
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License Number State | MI
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