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Individual
DR. KOH TAKEUCHI
Active
Individual
DR. KOH TAKEUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
99-7946-99
MA
208600000X
Surgery Physician
2014-00071
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2014-00071
NC
Other
Enumeration date
01/22/2014
Last updated
05/08/2014
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