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General NPI Number Information
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NPI Number | 1508370487
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Entity Type | Organization
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Legal Business Name | KATY CHOU DDS INC
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 1799 N WATERMAN AVE STE C
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-5107
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Country | US
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Telephone | 909-882-4018
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Fax |
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Provider Business Mailing Address
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Address Line | 1799 N WATERMAN AVE STE C
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-5107
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Country | US
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Telephone | 909-882-4018
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATY CHOU
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Credential | DDS
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Telephone | 626-688-3829
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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 |
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License Number State |
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