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General NPI Number Information
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NPI Number | 1619633872
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Entity Type | Individual
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Provider Name | HYESEONG CHOI
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Gender | Male
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 701 E 28TH ST STE 111
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City | LONG BEACH
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State | CA
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Zip | 90806-2715
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Country | US
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Telephone | 626-333-3172
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Fax | 626-333-3163
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Provider Business Mailing Address
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Address Line | 1539 W 207TH ST APT 4
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City | TORRANCE
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State | CA
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Zip | 90501-6411
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Country | US
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Telephone | 323-273-7566
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 301030
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License Number State | CA
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