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General NPI Number Information
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NPI Number | 1255333589
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Entity Type | Individual
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Provider Name | KENNETH KIEUN CHOI MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 05/02/2020
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Provider Practice Location Address
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Address Line | 2260 W ORANGE GROVE RD
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City | TUCSON
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State | AZ
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Zip | 85741-3117
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Country | US
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Telephone | 520-795-5830
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Fax | 520-885-4469
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Provider Business Mailing Address
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Address Line | 6325 E TANQUE VERDE RD
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City | TUCSON
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State | AZ
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Zip | 85715-3808
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Country | US
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Telephone | 520-795-5830
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Fax | 520-885-4469
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 27206
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 27206
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License Number State | AZ
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