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General NPI Number Information
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NPI Number | 1033450309
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE HEALTHCARE MEDICAL GROUP, INC
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 8215 VAN NUYS BLVD 306
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4810
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Country | US
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Telephone | 818-376-0000
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Fax | 818-376-0576
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Provider Business Mailing Address
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Address Line | 8215 VAN NUYS BLVD 306
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4810
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Country | US
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Telephone | 818-376-0000
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Fax | 818-376-0576
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. HOMAYOUN SAEID
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Credential | M.D.
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Telephone | 818-376-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A60296
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License Number State | CA
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