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General NPI Number Information
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NPI Number | 1114226073
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE ORTHOPAEDICS & SPINE INSTITUTE
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 6801 NORTH COLDWATER CANYON BLVD., #1E
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605
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Country | US
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Telephone | 818-759-2555
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Fax | 818-759-2556
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Provider Business Mailing Address
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Address Line | 13029A VICTORY BLVD # 526
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-2930
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Country | US
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Telephone | 818-476-7010
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SANDRA FIGUEROA
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Credential |
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Telephone | 818-476-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G84264
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License Number State | CA
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