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General NPI Number Information
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NPI Number | 1043459779
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE HEALTHCARE SERVICES, LLC.
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 705 INGRAHAM AVE SUITE 8
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City | HAINES CITY
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State | FL
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Zip | 33844-4327
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Country | US
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Telephone | 863-422-3600
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Fax | 863-422-4380
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Provider Business Mailing Address
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Address Line | 705 INGRAHAM AVE SUITE 8
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City | HAINES CITY
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State | FL
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Zip | 33844-4327
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Country | US
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Telephone | 863-422-3600
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Fax | 863-422-4380
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Authorized Official
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Title or Position | ADMINISTRATOR/PRESIDENT
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Name | FRANCISCO ESTEBAN VALLE
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Credential | RN
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Telephone | 863-422-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299993417
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License Number State | FL
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