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General NPI Number Information
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NPI Number | 1548263890
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Entity Type | Individual
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Provider Name | YUNG KHO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 1601 NE 6TH ST
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City | GRANTS PASS
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State | OR
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Zip | 97526-1035
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Country | US
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Telephone | 541-474-5071
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Fax | 541-476-0866
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Provider Business Mailing Address
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Address Line | 1601 NE 6TH ST
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City | GRANTS PASS
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State | OR
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Zip | 97526-1035
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Country | US
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Telephone | 541-474-5071
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Fax | 541-476-0866
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD24912
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License Number State | OR
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