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General NPI Number Information
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NPI Number | 1659544286
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Entity Type | Individual
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Provider Name | DENNIS W CHOI M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | HEALTH SCIENCES CENTER 12 020 STONY BROOK UNIVERSITY MEDICAL CENTER
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City | STONY BROOK
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State | NY
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Zip | 11794-0001
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Country | US
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Telephone | 631-444-7691
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Fax | 631-444-8302
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Provider Business Mailing Address
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Address Line | HEALTH SCIENCES CENTER 12 020 STONY BROOK UNIVERSITY MEDICAL CENTER
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City | STONY BROOK
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State | NY
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Zip | 11794-0001
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Country | US
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Telephone | 631-444-7691
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Fax | 631-444-8302
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | R5P79
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 267537-1
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License Number State | NY
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