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General NPI Number Information
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NPI Number | 1932468329
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Entity Type | Organization
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Legal Business Name | CHOICE EYE CARE, LLC
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 2055 SCENIC HWY N STE B
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City | SNELLVILLE
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State | GA
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Zip | 30078-6167
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Country | US
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Telephone | 770-736-7757
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Fax | 770-736-9066
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Provider Business Mailing Address
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Address Line | 1195 RIVERSHYRE PKWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-4435
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Country | US
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Telephone | 972-897-1337
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Fax | 866-805-4776
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. HUI SUNG CHOI
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Credential | O.D.
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Telephone | 972-897-1337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT002638
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License Number State | GA
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