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General NPI Number Information
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NPI Number | 1588153704
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Entity Type | Individual
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Provider Name | IN CHUL CHOI DDS
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Gender | Male
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 1450 S HAVANA ST STE 720
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City | AURORA
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State | CO
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Zip | 80012-4034
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Country | US
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Telephone | 720-298-9789
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Fax |
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Provider Business Mailing Address
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Address Line | 6092 S KALISPELL ST
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City | AURORA
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State | CO
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Zip | 80016-4748
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Country | US
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Telephone | 303-693-2137
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8198
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License Number State | CO
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