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General NPI Number Information
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NPI Number | 1043618895
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Entity Type | Individual
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Provider Name | SCOTT SOOLIM CHOI
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Gender | Male
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 661 HILLSIDE RD
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City | PELHAM
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State | NY
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Zip | 10803-2723
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Country | US
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Telephone | 914-738-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1234 ESTATES LN # 48M
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City | BAYSIDE
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State | NY
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Zip | 11360-1140
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Country | US
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Telephone | 646-469-7978
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 059776
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License Number State | NY
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