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General NPI Number Information
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NPI Number | 1114043544
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE HEALTH GROUP, INC.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1636 LEXINGTON AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-2900
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Country | US
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Telephone | 419-756-3000
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Fax | 419-756-7747
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Provider Business Mailing Address
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Address Line | 1636 LEXINGTON AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-2900
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Country | US
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Telephone | 419-756-3000
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Fax | 419-756-7747
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARC N HARING
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Credential | D.C.
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Telephone | 419-756-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1260
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License Number State | OH
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