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General NPI Number Information
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NPI Number | 1750477287
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Entity Type | Individual
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Provider Name | JAMES CHIN CHOE D.D.S
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 335 UNION BLVD
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City | TOTOWA
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State | NJ
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Zip | 07512-2553
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Country | US
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Telephone | 973-595-6776
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Fax | 973-956-7687
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Provider Business Mailing Address
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Address Line | 1183 PINES LAKE DR W
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City | WAYNE
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State | NJ
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Zip | 07470-6152
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Country | US
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Telephone | 973-248-6213
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI020028
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License Number State | NJ
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