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General NPI Number Information
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NPI Number | 1609128107
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Entity Type | Organization
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Legal Business Name | DAVID A EWING-CHOW, MD, PLLC
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 1348 SUNSET RDG
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City | WATERTOWN
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State | NY
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Zip | 13601-4438
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Country | US
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Telephone | 315-778-7913
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Fax |
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Provider Business Mailing Address
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Address Line | 1348 SUNSET RDG
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City | WATERTOWN
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State | NY
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Zip | 13601-4438
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Country | US
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Telephone | 315-778-7913
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DAVID EWING-CHOW
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Credential | MD
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Telephone | 315-778-7913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 221276
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License Number State | NY
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