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NPI 1710570692

NPI 1710570692 : SONYA TUNG CHOI DDS : MESA, AZ

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General NPI Number Information
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    NPI Number           |    1710570692
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    Entity Type          |    Individual 
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    Provider Name        |    SONYA TUNG CHOI DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/11/2021
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    Last Update Date     |    02/13/2025
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Provider Practice Location Address
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    Address Line         |    5835 E STILL CIR 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85206-3618
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    Country              |    US
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    Telephone            |    480-248-8107
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1525 E BASELINE RD APT 99 
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    City                 |    TEMPE
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    State                |    AZ
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    Zip                  |    85283-1421
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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    |    
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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       |    D011272
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    14038
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    License Number State |    NC
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