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General NPI Number Information
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NPI Number | 1598974032
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Entity Type | Individual
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Provider Name | LELAND CHO D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 11300 17TH AVE 11300 17TH AVE
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City | LEMOORE
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State | CA
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Zip | 93245-9117
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Country | US
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Telephone | 559-381-0938
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 550 11300 17TH. AVE.
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City | LEMOORE
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State | CA
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Zip | 93245-0550
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Country | US
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Telephone | 559-381-0938
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Fax | 559-924-9351
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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 | 30784
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License Number State | CA
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