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General NPI Number Information
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NPI Number | 1255728671
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Entity Type | Individual
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Provider Name | DENNIS JUNG HWAN CHOI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 540 W 5TH ST STE 340
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City | ODESSA
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State | TX
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Zip | 79761-5036
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Country | US
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Telephone | 432-640-3445
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 CASS AVE APT 705
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City | DETROIT
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State | MI
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Zip | 48201-1288
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Country | US
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Telephone | 917-435-3757
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | T1326
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License Number State | TX
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