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General NPI Number Information
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NPI Number | 1487710240
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Entity Type | Organization
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Legal Business Name | CHELSEA VILLAGE FAMILY MEDICINE, P.C.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1600 COMMERCE PARK DR SUITE 300
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City | CHELSEA
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State | MI
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Zip | 48118-1620
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Country | US
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Telephone | 734-475-3662
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Fax | 734-475-4232
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Provider Business Mailing Address
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Address Line | 1600 COMMERCE PARK DR SUITE 300
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City | CHELSEA
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State | MI
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Zip | 48118-1620
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Country | US
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Telephone | 734-475-3662
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Fax | 734-475-4232
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY JUNGHO CHOE
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Credential | M.D.
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Telephone | 734-475-3662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301077713
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License Number State | MI
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