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General NPI Number Information
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NPI Number | 1699930784
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Entity Type | Individual
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Provider Name | LINDA L KHO MD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 3183 VENETIAN WAY
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City | MONTGOMERY
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State | IL
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Zip | 60538-3454
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Country | US
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Telephone | 224-805-7591
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Fax |
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Provider Business Mailing Address
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Address Line | 3183 VENETIAN WAY
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City | MONTGOMERY
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State | IL
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Zip | 60538-3454
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Country | US
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Telephone | 224-805-7591
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 94-07069
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License Number State | KS
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