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General NPI Number Information
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NPI Number | 1760808240
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Entity Type | Individual
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Provider Name | JAYSON CHOI JUN MSN, FNP-C, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/08/2014
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 18700 MAIN ST STE 108
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1713
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Country | US
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Telephone | 949-424-5224
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Fax | 714-587-9033
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Provider Business Mailing Address
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Address Line | 18700 MAIN ST STE 108
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1713
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Country | US
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Telephone | 949-424-5224
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Fax | 714-587-9033
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95000340
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License Number State | CA
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