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General NPI Number Information
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NPI Number | 1063957280
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Entity Type | Individual
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Provider Name | JOEL CHOI ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 12/24/2016
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 3636 166TH ST 2ND FL
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City | FLUSHING
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State | NY
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Zip | 11358
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Country | US
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Telephone | 347-229-7258
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Fax |
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Provider Business Mailing Address
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Address Line | 3636 166TH ST
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City | FLUSHING
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State | NY
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Zip | 11358-2008
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Country | US
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Telephone | 347-229-7258
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 003900
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 003900-01
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License Number State | NY
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