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General NPI Number Information
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NPI Number | 1508429663
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Entity Type | Individual
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Provider Name | ANDREW YOUNG CHOI PHD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 118 E 124TH ST PO BOX 29
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City | NEW YORK
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State | NY
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Zip | 10035-0029
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Country | US
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Telephone | 213-335-2282
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Fax |
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Provider Business Mailing Address
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Address Line | 118 E 124TH ST PO BOX 29
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City | NEW YORK
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State | NY
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Zip | 10035-0029
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Country | US
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Telephone | 213-335-2282
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | PSY200001465
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 1916
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 33136
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License Number State | CA
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