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General NPI Number Information
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NPI Number | 1750704839
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Entity Type | Individual
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Provider Name | MYUNHO CHO IM M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 2-40, 149TH PLACE
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City | WHITESTONE
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State | NY
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Zip | 11357
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Country | US
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Telephone | 718-747-3702
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Fax | 718-747-3702
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Provider Business Mailing Address
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Address Line | 34 WEST RUBY AVE UNIT B
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City | PALISADES PARK
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State | NJ
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Zip | 07650
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Country | US
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Telephone | 718-747-3702
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Fax | 718-747-3702
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 153413
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License Number State | NY
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