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General NPI Number Information
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NPI Number | 1073094652
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Entity Type | Individual
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Provider Name | DAVID PHOON CHOE DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 113 WATERWORKS WAY STE 215
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City | IRVINE
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State | CA
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Zip | 92618-3176
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Country | US
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Telephone | 949-754-9004
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Fax | 949-754-9077
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Provider Business Mailing Address
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Address Line | 18930 CARMENITA RD STE D
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City | CERRITOS
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State | CA
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Zip | 90703-6379
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Country | US
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Telephone | 562-402-2535
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Fax | 562-403-6821
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 37320
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License Number State | CA
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