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General NPI Number Information
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NPI Number | 1689458473
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Entity Type | Organization
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Legal Business Name | SU-YOUNG CHOI DDS, PLLC.
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 18209 WA-410 SUITE 300
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City | BONNEY LAKE
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State | WA
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Zip | 98391
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Country | US
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Telephone | 253-299-2492
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Fax |
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Provider Business Mailing Address
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Address Line | 18209 WA-410 SUITE 300
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City | BONNEY LAKE
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State | WA
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Zip | 98391
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HR
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Name | MALIA WARE
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Credential |
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Telephone | 253-242-8816
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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 |
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License Number State |
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