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General NPI Number Information
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NPI Number | 1891939542
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Entity Type | Individual
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Provider Name | EUREE CHOI D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 3711 GREGORY ST KOOL SMILES
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City | WICHITA FALLS
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State | TX
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Zip | 76308-1614
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Country | US
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Telephone | 940-228-0963
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 CENTRAL FWY APT 211
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City | WICHITA FALLS
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State | TX
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Zip | 76305-6609
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Country | US
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Telephone | 703-501-8467
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Fax | 601-605-0127
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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 | 25354
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS037758
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License Number State | PA
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