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General NPI Number Information
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NPI Number | 1235244534
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Entity Type | Individual
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Provider Name | AGNES LEE CHOA MD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 2200 W 7TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90057
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Country | US
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Telephone | 213-637-2539
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Fax | 626-913-2785
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Provider Business Mailing Address
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Address Line | 1995 RIO BONITO DR
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748
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Country | US
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Telephone | 626-810-2895
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Fax | 626-913-2785
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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 | A37974
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License Number State | CA
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