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General NPI Number Information
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NPI Number | 1588810030
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Entity Type | Individual
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Provider Name | JIN H. CHOI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 2 FOX VALLEY CTR
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City | AURORA
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State | IL
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Zip | 60504-4185
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Country | US
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Telephone | 630-820-1442
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Fax | 630-820-7032
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Provider Business Mailing Address
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Address Line | 5875 LANDERBROOK DR #250
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City | MAYFIELD HTS
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State | OH
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Zip | 44124-6511
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Country | US
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Telephone | 800-487-4867
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.027603
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License Number State | IL
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