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General NPI Number Information
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NPI Number | 1922038116
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Entity Type | Organization
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Legal Business Name | TAE SIK CHOI MD PC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 22 CENTER ST
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City | MASSENA
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State | NY
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Zip | 13662-1437
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Country | US
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Telephone | 315-764-0265
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Fax | 315-764-1812
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Provider Business Mailing Address
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Address Line | 22 CENTER ST PO BOX 111
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City | MASSENA
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State | NY
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Zip | 13662-1437
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Country | US
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Telephone |
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Fax | 315-764-1812
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JANICE C
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Credential |
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Telephone | 315-764-0265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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