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General NPI Number Information
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NPI Number | 1891040028
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Entity Type | Individual
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Provider Name | HAN CHOI DDS
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Gender | Male
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 20542 N. LAKE PLEASANT RD. #113
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City | PEORIA
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State | AZ
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Zip | 85382
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Country | US
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Telephone | 602-884-8238
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Fax | 602-865-1988
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Provider Business Mailing Address
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Address Line | 20542 N. LAKE PLEASANT RD. #113
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City | PEORIA
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State | AZ
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Zip | 85382
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Country | US
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Telephone | 602-884-8238
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Fax | 602-865-1988
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 28175
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10108
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License Number State | AZ
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