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General NPI Number Information
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NPI Number | 1265476030
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Entity Type | Organization
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Legal Business Name | CHOICE CARE INC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 LOMAS BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2349
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Country | US
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Telephone | 505-255-4971
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Fax | 505-255-4977
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Provider Business Mailing Address
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Address Line | PO BOX 25784
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-0784
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Country | US
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Telephone | 505-255-4971
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Fax | 505-255-4977
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Authorized Official
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Title or Position | CFO
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Name | PAULA WHITLEY
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Credential |
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Telephone | 505-255-4971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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