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General NPI Number Information
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NPI Number | 1447838867
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Entity Type | Organization
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Legal Business Name | MICHAEL B CHOI MD INC
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 6102 BEACH BLVD
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City | BUENA PARK
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State | CA
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Zip | 90621-4211
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Country | US
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Telephone | 847-769-0567
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Fax |
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Provider Business Mailing Address
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Address Line | 400 5TH AVE APT 38A
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City | NEW YORK
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State | NY
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Zip | 10018-5946
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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 | PRESIDENT
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Name | DR. MICHAEL CHOI
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Credential | MD
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Telephone | 847-769-0567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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