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General NPI Number Information
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NPI Number | 1972621647
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Entity Type | Individual
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Provider Name | JAMES C CHOW D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 109 3RD ST
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City | LINCOLN
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State | IL
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Zip | 62656-2604
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Country | US
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Telephone | 217-735-2317
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Fax | 217-732-6943
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Provider Business Mailing Address
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Address Line | 201 E MADISON ST STE 328
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City | SPRINGFIELD
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State | IL
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Zip | 62702-5131
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Country | US
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Telephone | 217-545-8000
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019020259
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License Number State | IL
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