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General NPI Number Information
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NPI Number | 1669665238
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Entity Type | Organization
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Legal Business Name | CHOE'S MIRACLE ACUPUNCTURE & HERB CENTER
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 08/27/2007
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Provider Practice Location Address
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Address Line | 2550 PLEASANT HILL RD SUITE 417
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City | DULUTH
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State | GA
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Zip | 30096-4122
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Country | US
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Telephone | 770-622-4100
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Fax | 770-495-0007
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Provider Business Mailing Address
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Address Line | 2550 PLEASANT HILL RD SUITE 417
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City | DULUTH
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State | GA
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Zip | 30096-4122
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Country | US
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Telephone | 770-622-4100
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Fax | 770-495-0007
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JIMONG CHOE
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Credential | PH.D., L.AC.
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Telephone | 770-622-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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