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General NPI Number Information
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NPI Number | 1528986510
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Entity Type | Individual
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Provider Name | SEONGWON CHOI
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Gender | Male
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 17103 28TH DR NE STE 104
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City | MARYSVILLE
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State | WA
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Zip | 98271-4830
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Country | US
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Telephone | 360-208-0492
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Fax |
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Provider Business Mailing Address
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Address Line | 960 W 7TH ST APT 2801
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City | LOS ANGELES
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State | CA
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Zip | 90017-6079
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DENT.DE.70094140
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DENT.DE.70094140
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License Number State | WA
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