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General NPI Number Information
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NPI Number | 1053314161
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Entity Type | Organization
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Legal Business Name | CHOICE MEDICAL, INC.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 314 ERIN DR STE 101
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City | KNOXVILLE
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State | TN
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Zip | 37919-6210
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Country | US
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Telephone | 865-588-1643
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Fax | 865-588-4355
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Provider Business Mailing Address
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Address Line | 314 ERIN DR STE 101
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City | KNOXVILLE
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State | TN
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Zip | 37919-6210
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Country | US
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Telephone | 865-588-1643
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Fax | 865-588-4355
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Authorized Official
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Title or Position | PRESIDENT
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Name | AARON SORENSEN
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Credential | CPO, LPO
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Telephone | 615-890-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 127397
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 127397
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 127397
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License Number State | TN
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