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General NPI Number Information
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NPI Number | 1235667379
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE PRESCRIPTIONS LLC
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 10/13/2017
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Provider Practice Location Address
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Address Line | 8111 LBJ FWY #540
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City | DALLAS
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State | TX
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Zip | 75251-1313
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Country | US
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Telephone | 972-607-4978
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Fax | 972-692-6793
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Provider Business Mailing Address
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Address Line | 8111 LBJ FWY STE 540 #540
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City | DALLAS
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State | TX
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Zip | 75251-1444
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Country | US
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Telephone | 972-607-4978
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Fax | 972-692-6793
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE DAVILA
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Credential |
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Telephone | 972-607-4978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29014
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License Number State | TX
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