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General NPI Number Information
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NPI Number | 1366431868
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE MEDICAL EQUIPMENT AND RESPIRATORY SERVICE INC
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 413 VARDRY ST UNIT 4B
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City | GREENVILLE
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State | SC
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Zip | 29601
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Country | US
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Telephone | 864-813-4630
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Fax | 864-200-2026
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Provider Business Mailing Address
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Address Line | 406 MEDICAL CENTER DR
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City | JASPER
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State | AL
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Zip | 35501-3400
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Country | US
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Telephone | 205-221-8258
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Fax | 205-221-8308
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Authorized Official
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Title or Position | SR VICE PRESIDENT
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Name | LISA J. WELLS
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Credential | CPCO
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Telephone | 205-221-8258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | SC
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