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General NPI Number Information
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NPI Number | 1841726338
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Entity Type | Individual
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Provider Name | MICHELLE TSZ SHAN CHOI DO
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Gender | Female
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 2205 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2301
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Country | US
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Telephone | 323-728-0321
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2301
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Country | US
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Telephone | 323-728-0321
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Fax | 562-967-2916
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A17043
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License Number State | CA
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