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NPI 1154585453

NPI 1154585453 : CHRISTINE CHOI : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1154585453
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE CHOI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/16/2008
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    Last Update Date     |    06/01/2023
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Provider Practice Location Address
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    Address Line         |    953 49TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11219-2923
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    Country              |    US
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    Telephone            |    718-283-7370
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    953 49TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11219-2923
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    007730
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    License Number State |    NY
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