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General NPI Number Information
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NPI Number | 1801267877
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Entity Type | Individual
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Provider Name | JIEUN CHOI
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Gender | Female
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 05/30/2016
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Provider Practice Location Address
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Address Line | 1900 ARCH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1500
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Country | US
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Telephone | 215-587-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 2228 FAIRMOUNT AVE # 3
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2617
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Country | US
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Telephone | 510-909-8433
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP449956
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License Number State | PA
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