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General NPI Number Information
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NPI Number | 1205718764
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE PERSONAL CARE
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 268 STATE ST STE 2-7
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City | BANGOR
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State | ME
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Zip | 04401-5417
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Country | US
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Telephone | 651-276-9243
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Fax |
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Provider Business Mailing Address
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Address Line | 439 LAKEVIEW ALCOVE
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City | WOODBURY
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State | MN
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Zip | 55129
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Country | US
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Telephone | 651-276-9243
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZAKARIYE ABDI
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Credential |
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Telephone | 651-276-9243
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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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