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General NPI Number Information
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NPI Number | 1215702576
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Entity Type | Organization
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Legal Business Name | CHOICEPOINT LLC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 23-00 ROUTE 208 STE 2-9
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City | FAIR LAWN
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State | NJ
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Zip | 07410-1558
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Country | US
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Telephone | 908-948-8802
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Fax |
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Provider Business Mailing Address
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Address Line | 4009 MASONBORO LOOP RD
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City | WILMINGTON
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State | NC
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Zip | 28409-3640
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Country | US
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Telephone | 844-445-2563
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DUSTIN X JOHNSON
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Credential |
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Telephone | 704-450-2117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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