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General NPI Number Information
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NPI Number | 1588076178
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Entity Type | Individual
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Provider Name | HANEL ARIEL CHOI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 100 S. BROAD ST. SUITE 1530
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City | PHILADELPHIA
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State | PA
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Zip | 19110
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Country | US
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Telephone | 215-383-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 530 S 2ND ST APT 730
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City | PHILADELPHIA
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State | PA
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Zip | 19147-2420
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Country | US
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Telephone | 804-585-5717
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS040882
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License Number State | PA
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