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General NPI Number Information
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NPI Number | 1710112677
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Entity Type | Organization
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Legal Business Name | JAMES CHOU DDS DENTAL GROUP OF FULLERTON INC
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 2949 BREA BLVD
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City | FULLERTON
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State | CA
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Zip | 92835-2073
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Country | US
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Telephone | 714-671-0300
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Fax | 714-671-0399
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Provider Business Mailing Address
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Address Line | 2949 BREA BLVD
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City | FULLERTON
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State | CA
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Zip | 92835-2073
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Country | US
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Telephone | 714-671-0300
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Fax | 714-671-0399
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. JAMES CHOU
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Credential | DDS.,MS
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Telephone | 714-671-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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