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General NPI Number Information
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NPI Number | 1093766982
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Entity Type | Individual
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Provider Name | WONJAE E CHOI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3939 J ST SUITE 310
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City | SACRAMENTO
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State | CA
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Zip | 95819-3631
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Country | US
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Telephone | 916-481-6800
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Fax | 916-481-1881
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Provider Business Mailing Address
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Address Line | PO BOX 660970
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City | SACRAMENTO
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State | CA
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Zip | 95866-0970
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Country | US
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Telephone | 916-481-6800
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Fax | 916-481-1881
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A82953
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License Number State | CA
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