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General NPI Number Information
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NPI Number | 1952662710
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Entity Type | Individual
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Provider Name | SUSAN CHOE D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 10/27/2017
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Provider Practice Location Address
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Address Line | LAHEY OUTPATIENT CENTER @ DANVERS 480 MAPLE STREET 1ST FL
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City | DANVERS
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State | MA
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Zip | 01923
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Country | US
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Telephone | 978-304-8360
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Fax |
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Provider Business Mailing Address
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Address Line | PROVIDER ENROLLMENT DEPT. LAHEY CLINIC INC 41 MALL ROAD
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City | BURLINGTON
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State | MA
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Zip | 01805-0001
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Country | US
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Telephone | 781-744-8085
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 272770
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License Number State | MA
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