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General NPI Number Information
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NPI Number | 1295127801
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Entity Type | Organization
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Legal Business Name | CHOICES INC
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 3180 RACQUET CLUB DR STE D
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-4797
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Country | US
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Telephone | 231-486-5090
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Fax | 231-943-2555
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Provider Business Mailing Address
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Address Line | 3180 RACQUET CLUB DR STE D
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-4797
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Country | US
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Telephone | 231-486-5090
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Fax | 231-943-2555
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Authorized Official
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Title or Position | CEO
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Name | SAMANTHA GARCIA
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Credential |
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Telephone | 231-486-5090
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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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