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General NPI Number Information
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NPI Number | 1003508698
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Entity Type | Organization
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Legal Business Name | SOHA PEDIATRICS, LLC
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 163 SAINT NICHOLAS AVE # CF-B
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City | NEW YORK
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State | NY
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Zip | 10026-1212
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Country | US
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Telephone | 646-588-1229
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Fax | 646-536-2597
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Provider Business Mailing Address
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Address Line | 163 SAINT NICHOLAS AVE # CF-B
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City | NEW YORK
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State | NY
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Zip | 10026-1212
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Country | US
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Telephone | 646-588-1229
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Fax | 646-536-2597
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEFINA CHOE
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Credential | DO
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Telephone | 917-275-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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