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General NPI Number Information
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NPI Number | 1285284166
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Entity Type | Individual
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Provider Name | SUNG MIN CHOI PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 130 W 42ND ST STE 1055
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City | NEW YORK
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State | NY
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Zip | 10036-7901
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Country | US
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Telephone | 212-308-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 14485 ROOSEVELT AVE APT 4D
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City | FLUSHING
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State | NY
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Zip | 11354-6274
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Country | US
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Telephone | 347-559-2366
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 044171-1
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License Number State | NY
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