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General NPI Number Information
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NPI Number | 1750581369
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Entity Type | Organization
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Legal Business Name | PETER Y CHO MD INC
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Dates
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Enumeration Date | 07/21/2007
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 115 HOSPITAL DR
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City | UKIAH
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State | CA
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Zip | 95482-4591
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Country | US
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Telephone | 707-463-1900
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Fax | 707-780-6375
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Provider Business Mailing Address
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Address Line | 115 HOSPITAL DR
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City | UKIAH
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State | CA
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Zip | 95482-4591
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Country | US
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Telephone | 707-463-1900
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Fax | 707-780-6375
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | PETER Y CHO
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Credential | MD
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Telephone | 707-463-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G80908
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License Number State | CA
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