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NPI 1174846828

NPI 1174846828 : FIRST CHOICE HEALTH SERVICES : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1174846828
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRST CHOICE HEALTH SERVICES 
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Dates
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    Enumeration Date     |    03/09/2010
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    Last Update Date     |    03/09/2010
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Provider Practice Location Address
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    Address Line         |    3756 SANTA ROSALIA DR # 300 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90008-3606
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    Country              |    US
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    Telephone            |    323-293-7660
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3756 SANTA ROSALIA DR # 300 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90008-3606
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     SYLVER  ALUGBUE 
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    Credential           |    
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    Telephone            |    310-344-6852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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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        |    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 #3
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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