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General NPI Number Information
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NPI Number | 1316006505
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Entity Type | Individual
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Provider Name | SUSANNA CHOI MD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 10233 S PARKER RD UNIT 200
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City | PARKER
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State | CO
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Zip | 80134-9314
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Country | US
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Telephone | 303-805-1264
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Fax | 303-805-1164
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Provider Business Mailing Address
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Address Line | 10233 S PARKER RD UNIT 200
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City | PARKER
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State | CO
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Zip | 80134-9314
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Country | US
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Telephone | 303-805-1264
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Fax | 303-805-1164
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 24190
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License Number State | CO
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