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General NPI Number Information
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NPI Number | 1710963723
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Entity Type | Individual
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Provider Name | JUNG K. CHOE MD
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Gender | Female
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 17000 COMMERCE PKWY SUITE C
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-2267
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Country | US
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Telephone | 856-751-5575
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Fax | 856-751-7289
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Provider Business Mailing Address
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Address Line | 7447 OLD YORK RD
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City | MELROSE PARK
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State | PA
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Zip | 19027-3006
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Country | US
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Telephone | 856-751-5575
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Fax | 856-751-7289
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA05451300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD045394E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 25MA05451300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | MD045394E
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License Number State | PA
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