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General NPI Number Information
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NPI Number | 1114981149
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Entity Type | Individual
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Provider Name | JOHN Y CHOI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 3460 OLD WASHINGTON RD STE 101
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City | WALDORF
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State | MD
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Zip | 20602-3241
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Country | US
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Telephone | 301-893-3484
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Fax | 301-893-3481
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Provider Business Mailing Address
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Address Line | 3460 OLD WASHINGTON RD STE 101
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City | WALDORF
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State | MD
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Zip | 20602-3241
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Country | US
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Telephone | 301-893-3484
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Fax | 301-893-3481
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD00046238
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D66433
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License Number State | MD
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