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General NPI Number Information
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NPI Number | 1710401914
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Entity Type | Individual
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Provider Name | JI YOON CHOI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/29/2017
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 119 SANTA MARIA
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City | IRVINE
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State | CA
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Zip | 92606-0616
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Country | US
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Telephone | 917-790-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 160 FIXIE
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City | IRVINE
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State | CA
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Zip | 92618-1033
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Country | US
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Telephone | 917-510-6919
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS106892
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | GA2160
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License Number State | CA
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