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General NPI Number Information
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NPI Number | 1528105236
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Entity Type | Individual
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Provider Name | TAE GYOUN RHO MD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13678 39 AVE
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-539-6600
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Fax | 718-939-4929
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Provider Business Mailing Address
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Address Line | 9511 101 AVE
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City | OZONE PARK
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State | NY
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Zip | 11416
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Country | US
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Telephone | 718-738-1999
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Fax | 718-925-0032
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 121763
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License Number State | NY
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