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General NPI Number Information
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NPI Number | 1073482568
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Entity Type | Individual
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Provider Name | MINHWA CHOI
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Gender |
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1650 GALISTEO ST
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City | SANTA FE
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State | NM
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Zip | 87505-4747
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Country | US
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Telephone | 150-598-4831
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 SCALES RD APT 6208
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City | SUWANEE
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State | GA
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Zip | 30024-4597
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-2025-0312
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License Number State | NM
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