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General NPI Number Information
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NPI Number | 1497341531
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Entity Type | Individual
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Provider Name | HEARYUN CHO OTR
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Gender | Female
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Dates
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Enumeration Date | 12/13/2020
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 18511 HIGHLANDER MEDICS ST
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City | FORT BLISS
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State | TX
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Zip | 79906-5327
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Country | US
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Telephone | 414-399-7429
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Fax |
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Provider Business Mailing Address
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Address Line | 14304 WOODS POINT AVE
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City | EL PASO
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State | TX
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Zip | 79938-5308
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Country | US
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Telephone | 414-399-7429
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 107047
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License Number State | IA
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