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General NPI Number Information
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NPI Number | 1689431397
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Entity Type | Individual
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Provider Name | DR. YUN YOUNG CHO
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Gender | Female
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 2 BROOKLINE PL
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City | BROOKLINE
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State | MA
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Zip | 02445-7230
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Country | US
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Telephone | 161-735-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BROOKLINE PL DENTISTRY 8TH FLR
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City | BROOKLINE
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State | MA
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Zip | 02445-7230
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Country | US
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Telephone |
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Fax |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DF100012
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License Number State | MA
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