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General NPI Number Information
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NPI Number | 1225608755
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 1700 OKEECHOBEE RD STE 102
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5229
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Country | US
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Telephone | 888-201-7939
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Fax | 561-290-0209
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Provider Business Mailing Address
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Address Line | 1700 OKEECHOBEE RD STE 102
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5229
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Country | US
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Telephone | 888-201-7939
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | SEAN WOLF
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Credential |
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Telephone | 954-806-9308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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