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General NPI Number Information
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NPI Number | 1083966691
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE PHYSICIAN PARTNERS
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 500 S ANAHEIM HILLS RD STE 242
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City | ANAHEIM
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State | CA
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Zip | 92807-4780
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Country | US
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Telephone | 714-974-0611
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Fax | 714-221-2345
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Provider Business Mailing Address
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Address Line | 500 S ANAHEIM HILLS RD STE 242
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City | ANAHEIM
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State | CA
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Zip | 92807-4780
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Country | US
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Telephone | 714-974-0611
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Fax | 714-221-2345
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Authorized Official
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Title or Position | SVP REGIONAL OPERATIONS, TENET
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Name | MR. JEFF KOURY
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Credential |
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Telephone | 714-428-6842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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