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General NPI Number Information
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NPI Number | 1891836862
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Entity Type | Individual
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Provider Name | MITCHELL ROBERT CHIONG KHO MD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 600 EVERGREEN DR SUITE 630
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City | GLEN MILLS
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State | PA
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Zip | 19342-1053
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Country | US
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Telephone | 610-358-2250
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Fax | 610-358-2251
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Provider Business Mailing Address
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Address Line | 208 FLOURTOWN RD
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1209
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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 |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-065625-L
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License Number State | PA
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