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General NPI Number Information
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NPI Number | 1851852883
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Entity Type | Individual
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Provider Name | HAN NA CHO
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Gender | Female
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Dates
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Enumeration Date | 03/31/2019
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 14901 41ST AVE
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City | FLUSHING
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State | NY
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Zip | 11355-1025
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Country | US
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Telephone | 267-902-0918
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Fax |
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Provider Business Mailing Address
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Address Line | 14901 41ST AVE
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City | FLUSHING
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State | NY
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Zip | 11355-1025
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Country | US
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Telephone | 267-902-0918
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 35966
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 35966
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License Number State | TX
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