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General NPI Number Information
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NPI Number | 1164055810
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE HEALTH CENTERS INC
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Dates
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Enumeration Date | 02/20/2020
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 110 CONNECTICUT BLVD
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3103
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Country | US
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Telephone | 860-610-6150
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Fax | 860-282-0569
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Provider Business Mailing Address
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Address Line | 94 CONNECTICUT BLVD
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3013
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Country | US
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Telephone | 860-610-6191
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Fax | 860-290-4142
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Authorized Official
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Title or Position | INTERIM PRESIDENT & CEO
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Name | JEFFREY STEELE
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Credential |
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Telephone | 860-610-6191
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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