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General NPI Number Information
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NPI Number | 1205367471
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Entity Type | Individual
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Provider Name | SEUNG SAMUEL CHOI MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 22 S GREENE ST S11C
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 919-288-4493
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Fax |
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Provider Business Mailing Address
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Address Line | 22 S GREENE ST S11C
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 919-288-4493
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2022-00580
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License Number State | NC
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