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General NPI Number Information
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NPI Number | 1164956249
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Entity Type | Organization
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Legal Business Name | ERICA M. CHOI
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 25677 HURON ST
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City | LOMA LINDA
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State | CA
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Zip | 92354-3702
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Country | US
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Telephone | 858-805-1620
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Fax |
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Provider Business Mailing Address
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Address Line | 25677 HURON ST
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City | LOMA LINDA
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State | CA
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Zip | 92354-3702
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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 | OTR/L
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Name | ERICA CHOI
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Credential |
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Telephone | 858-805-1620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 16030
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License Number State | CA
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