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General NPI Number Information
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NPI Number | 1477015170
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Entity Type | Organization
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Legal Business Name | ERIC J W CHOE MD PC
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 2826 OLD LEE HWY STE 300
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City | FAIRFAX
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State | VA
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Zip | 22031-4346
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Country | US
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Telephone | 703-273-9393
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Fax | 703-273-7928
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Provider Business Mailing Address
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Address Line | 63 E MAIN ST STE 6
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City | WESTMINSTER
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State | MD
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Zip | 21157-5036
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Country | US
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Telephone | 410-848-8202
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Fax | 410-848-2644
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SEUNG YANG
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Credential |
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Telephone | 703-926-0626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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