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General NPI Number Information
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NPI Number | 1639696511
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Entity Type | Individual
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Provider Name | HYUNYEUL CHO L.AC, DOM
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Gender | Male
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 20105 NORTHERN BLVD. 1 FL
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City | BAYSIDE
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State | NY
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Zip | 11361
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Country | US
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Telephone | 929-590-8118
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Fax | 347-235-4662
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Provider Business Mailing Address
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Address Line | 20105 NORTHERN BLVD FL 1
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City | BAYSIDE
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State | NY
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Zip | 11361-2563
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Country | US
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Telephone | 929-590-8118
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Fax | 347-235-4662
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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