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General NPI Number Information
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NPI Number | 1942930409
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Entity Type | Individual
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Provider Name | WOOWON CHOI DMD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 13275 W COLONIAL DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-3984
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Country | US
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Telephone | 407-905-8827
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 MONTICELLO PL APT 305
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City | ORLANDO
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State | FL
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Zip | 32835-2903
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Country | US
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Telephone | 904-338-3934
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Fax |
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 27046
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License Number State | FL
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