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General NPI Number Information
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NPI Number | 1013323872
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE SUPPORTIVE SERVICES, INCORPORATED
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 3423 SUMMERLIN PARKWAY
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122
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Country | US
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Telephone | 404-437-9548
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Fax |
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Provider Business Mailing Address
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Address Line | 3423 SUMMERLIN PARKWAY
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MS. LATANYA SLOAN
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Credential |
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Telephone | 404-437-9548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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