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General NPI Number Information
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NPI Number | 1639954480
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Entity Type | Organization
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Legal Business Name | AMY CHOW MD MEDICAL PRACTICE LLC
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 296 NE TUDOR RD
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5696
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Country | US
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Telephone | 816-600-6236
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Fax | 816-600-6186
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Provider Business Mailing Address
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Address Line | 296 NE TUDOR RD
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5696
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Country | US
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Telephone | 816-600-6236
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Fax | 816-600-6186
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Authorized Official
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Title or Position | OWNER
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Name | AMY Y CHOW
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Credential | MD
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Telephone | 913-669-5466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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