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General NPI Number Information
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NPI Number | 1568866358
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Entity Type | Individual
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Provider Name | BYUNGWON CHOI
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Gender | Male
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 2050 W. SPRING CREEK PKWY SUITE 208
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City | PLANO
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State | TX
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Zip | 75023
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Country | US
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Telephone | 214-316-3073
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Fax | 972-517-1311
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Provider Business Mailing Address
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Address Line | 4005 VITRUVIAN WAY APT206
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City | ADDISON
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State | TX
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Zip | 75001
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Country | US
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Telephone | 469-471-8406
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12698
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License Number State | TX
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