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General NPI Number Information
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NPI Number | 1023928413
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Entity Type | Organization
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Legal Business Name | ARIZONA GERONTOLOGY CENTER PC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 1940 W CHANDLER BLVD STE 2-625
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City | CHANDLER
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State | AZ
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Zip | 85224-6176
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Country | US
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Telephone | 480-356-2303
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Fax | 480-553-8616
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Provider Business Mailing Address
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Address Line | 1940 W CHANDLER BLVD STE 2-625
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City | CHANDLER
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State | AZ
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Zip | 85224-6176
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Country | US
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Telephone | 480-356-2303
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Fax | 480-553-8616
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Authorized Official
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Title or Position | MD
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Name | JIHO CHOI
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Credential | MD
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Telephone | 480-356-2303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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