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General NPI Number Information
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NPI Number | 1164825295
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Entity Type | Individual
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Provider Name | MYUNG SOO CHOI
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Gender | Male
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 6363 WILSHIRE BLVD STE 520
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 323-782-9140
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Fax |
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Provider Business Mailing Address
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Address Line | 5260 238TH LN SE UNIT 8-5
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City | ISSAQUAH
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State | WA
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Zip | 98029-7670
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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 | 42679
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT61617958
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11198
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License Number State | AZ
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