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General NPI Number Information
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NPI Number | 1386798395
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Entity Type | Organization
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Legal Business Name | GEORGE C CHOI PSYD & WENDY H CHOI PSYD INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 1885 MAIN ST SUITE 207
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City | WAILUKU
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State | HI
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Zip | 96793
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Country | US
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Telephone | 858-243-2218
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Fax | 808-249-0223
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Provider Business Mailing Address
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Address Line | 1885 MAIN ST SUITE 207
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City | WAILUKU
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State | HI
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Zip | 96793
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Country | US
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Telephone | 858-243-2218
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Fax | 808-249-0223
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE C CHOI
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Credential |
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Telephone | 808-243-2218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY436
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License Number State | HI
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