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General NPI Number Information
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NPI Number | 1225710510
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE TESTING CENTER LLC
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 2900 CHAMBLEE TUCKER RD
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City | ATLANTA
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State | GA
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Zip | 30341-4100
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Country | US
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Telephone | 323-945-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 6756 PINE VALLEY TRCE
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-5818
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Country | US
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Telephone | 323-945-3095
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Fax |
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Authorized Official
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Title or Position | MANANGER
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Name | JERMAINE KYLE
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Credential |
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Telephone | 323-945-3095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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