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General NPI Number Information
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NPI Number | 1194658583
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE HOME CARE, INC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 10320 SYCAMORE ST NW
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City | COON RAPIDS
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State | MN
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Zip | 55433-4980
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Country | US
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Telephone | 651-214-3432
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Fax |
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Provider Business Mailing Address
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Address Line | 10320 SYCAMORE ST NW
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City | COON RAPIDS
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State | MN
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Zip | 55433-4980
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Country | US
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Telephone | 651-214-3432
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENJI BAO NGUYEN
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Credential |
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Telephone | 651-214-3432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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