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General NPI Number Information
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NPI Number | 1720545957
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Entity Type | Individual
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Provider Name | HYOSUN CHOI
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Gender | Female
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Dates
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Enumeration Date | 02/24/2019
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 401 S MAIN ST STE B5
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City | ALPHARETTA
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State | GA
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Zip | 30009-1958
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Country | US
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Telephone | 770-696-4675
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Fax |
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Provider Business Mailing Address
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Address Line | 2669 VILLAGE PARK BND
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City | DULUTH
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State | GA
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Zip | 30096-3822
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000400
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License Number State | GA
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