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General NPI Number Information
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NPI Number | 1447549514
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Entity Type | Individual
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Provider Name | ANDREW CHOI
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Gender | Male
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 1601 W VERDUGO AVE
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City | BURBANK
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State | CA
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Zip | 91506-2101
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Country | US
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Telephone | 818-843-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 MONTROSE AVE APT 68
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3850
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 35553
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 25351
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License Number State | CA
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