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General NPI Number Information
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NPI Number | 1982727061
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Entity Type | Organization
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Legal Business Name | CHARLIES I. CHOI MD, INC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 902 WESTPOINT PKWY SUITE 330
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City | WESTLAKE
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State | OH
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Zip | 44145-1534
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Country | US
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Telephone | 440-899-8622
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Fax | 440-899-9733
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Provider Business Mailing Address
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Address Line | 902 WESTPOINT PKWY SUITE 330
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City | WESTLAKE
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State | OH
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Zip | 44145-1534
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Country | US
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Telephone | 440-899-8622
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Fax | 440-899-9733
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DAVID M GUIDO
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Credential |
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Telephone | 937-322-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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