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General NPI Number Information
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NPI Number | 1801159033
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Entity Type | Organization
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Legal Business Name | QUEENS OB/GYN, P.C.
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 4160 MAIN ST SUITE 209
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City | FLUSHING
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State | NY
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Zip | 11355-3833
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Country | US
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Telephone | 718-353-6622
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Fax | 718-353-6624
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Provider Business Mailing Address
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Address Line | 3638 218TH ST
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City | BAYSIDE
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State | NY
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Zip | 11361-2223
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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 | PRESIDENT
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Name | YEH PING CHOU
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Credential | D.O.
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Telephone | 718-986-8087
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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 | 233896
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License Number State | NY
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