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General NPI Number Information
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NPI Number | 1679234702
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Entity Type | Organization
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Legal Business Name | YUN JAE CHO MEDICAL PC
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Dates
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Enumeration Date | 12/30/2021
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 3830 PARSONS BLVD STE 1D
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City | FLUSHING
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State | NY
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Zip | 11354-5841
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Country | US
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Telephone | 187-621-7107
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Fax | 718-762-1753
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Provider Business Mailing Address
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Address Line | 3830 PARSONS BLVD STE 1D
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City | FLUSHING
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State | NY
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Zip | 11354-5841
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Country | US
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Telephone | 585-975-9756
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YUN JAE CHO
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Credential | DO
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Telephone | 585-975-9756
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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 |
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License Number State |
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