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General NPI Number Information
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NPI Number | 1952920928
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Entity Type | Individual
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Provider Name | JAY JANGHEE CHO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | JUNCTION RD 371 RT 9, CROWNPOINT, NM 87313
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City | CROWNPOINT
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State | NM
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Zip | 87313
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Country | US
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Telephone | 505-786-2599
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 358
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City | CROWNPOINT
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State | NM
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Zip | 87313-0358
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Country | US
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Telephone | 505-786-2599
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH030988
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 64384
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License Number State | TX
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