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General NPI Number Information
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NPI Number | 1245505080
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE MEDICAL EQUIPMENT SOLUTIONS LLC
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 1441 F M 314 S
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City | CHANDLER
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State | TX
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Zip | 75758-4003
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Country | US
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Telephone | 903-330-5643
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Fax |
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Provider Business Mailing Address
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Address Line | 7262 SUMMIT PARC DR
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City | DALLAS
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State | TX
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Zip | 75249-4003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. RAYMOND HENDERSON JR.
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Credential |
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Telephone | 903-258-9430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 3-20461-7597-5
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License Number State | TX
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