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General NPI Number Information
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NPI Number | 1912077256
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Entity Type | Organization
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Legal Business Name | CONNIE HO, MD, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 882 EMERSON ST SUITE B
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City | PALO ALTO
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State | CA
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Zip | 94301-2448
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Country | US
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Telephone | 650-323-8900
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Fax | 650-323-8904
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Provider Business Mailing Address
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Address Line | PO BOX 1186
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City | PALO ALTO
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State | CA
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Zip | 94302-1186
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Country | US
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Telephone | 650-323-8900
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Fax | 650-323-8904
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Authorized Official
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Title or Position | OWNER
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Name | CONNIE LEIGH HO
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Credential | M.D.
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Telephone | 650-323-8900
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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 | G82002
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License Number State | CA
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