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General NPI Number Information
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NPI Number | 1033326137
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Entity Type | Individual
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Provider Name | LUKE S CHOI MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 14285 N. OUTER FORTY RD SUITE 200
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City | CHESTERFIELD
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State | MO
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Zip | 63195-0000
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Country | US
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Telephone | 314-392-5060
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 952334
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City | SAINT LOUIS
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State | MO
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Zip | 63195-2334
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Country | US
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Telephone | 314-392-5060
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 2011020336
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License Number State | MO
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