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General NPI Number Information
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NPI Number | 1104229418
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE IN HOME CARE, LLC
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 1904 RESORT ST
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City | BAKER CITY
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State | OR
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Zip | 97814-2726
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Country | US
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Telephone | 541-523-0700
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Fax | 541-523-0800
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Provider Business Mailing Address
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Address Line | 1904 RESORT ST
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City | BAKER CITY
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State | OR
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Zip | 97814-2726
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Country | US
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Telephone | 541-523-0700
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Fax | 541-523-0800
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Authorized Official
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Title or Position | OWNER
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Name | MARILYN ANN SPICER
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Credential |
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Telephone | 541-403-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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