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General NPI Number Information
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NPI Number | 1518955467
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Entity Type | Organization
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Legal Business Name | SANTIAGO O. CHING, M.D., INC.
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 1 ROSS PARK BLVD STE. #203
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2681
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Country | US
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Telephone | 740-283-9093
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Fax | 740-282-9087
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Provider Business Mailing Address
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Address Line | PO BOX 3143
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City | WEIRTON
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State | WV
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Zip | 26062-7143
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Country | US
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Telephone | 740-283-9093
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Fax | 740-282-9087
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANTIAGO O CHING
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Credential | MD
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Telephone | 740-283-9093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35032927
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License Number State | OH
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