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General NPI Number Information
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NPI Number | 1073484432
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Entity Type | Individual
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Provider Name | JEFFREY KEITH CHOFFEL RPA
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Gender | Male
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 125 N 18TH ST STE C
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City | MOUNT VERNON
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State | WA
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Zip | 98273-3902
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Country | US
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Telephone | 360-424-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 1175 9TH ST
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City | ISHPEMING
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State | MI
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Zip | 49849-1116
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Country | US
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Telephone | 906-360-3014
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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 | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number |
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License Number State |
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