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NPI 1538356662

NPI 1538356662 : MIN-HEE A CHO D.M.D. : RIDGEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1538356662
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    Entity Type          |    Individual 
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    Provider Name        |    MIN-HEE A CHO D.M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/02/2007
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    Last Update Date     |    09/03/2008
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Provider Practice Location Address
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    Address Line         |    166 FRANKLIN AVE 
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    City                 |    RIDGEWOOD
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    State                |    NJ
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    Zip                  |    07450-3206
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    Country              |    US
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    Telephone            |    201-652-2474
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    166 FRANKLIN AVE 
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    City                 |    RIDGEWOOD
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    State                |    NJ
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    Zip                  |    07450-3206
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    Country              |    US
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    Telephone            |    201-652-2474
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    009269
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    22DI02373100
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    License Number State |    NJ
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