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General NPI Number Information
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NPI Number | 1548690530
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER G. CHOW,MD,INC
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 18433 ROSCOE BLVD STE 208
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4139
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Country | US
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Telephone | 818-341-4401
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Fax |
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Provider Business Mailing Address
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Address Line | 18433 ROSCOE BLVD STE 208
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4139
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Country | US
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Telephone | 818-341-4401
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER G CHOW
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Credential | MD
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Telephone | 818-341-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 95000129
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License Number State | CA
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