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General NPI Number Information
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NPI Number | 1922813633
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Entity Type | Individual
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Provider Name | SUNYOUNG CHO FNP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1501 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19122-3319
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Country | US
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Telephone | 267-457-5553
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Fax |
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Provider Business Mailing Address
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Address Line | 2705 SUNNYBROOK LN
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City | ARDMORE
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State | PA
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Zip | 19003-1720
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Country | US
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Telephone | 215-478-3643
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP031693
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License Number State | PA
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