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General NPI Number Information
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NPI Number | 1376949263
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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 | 11/05/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 300 TALBOT ST
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City | EASTON
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State | MD
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Zip | 21601-3525
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Country | US
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Telephone | 877-565-5392
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Fax | 866-397-3531
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Provider Business Mailing Address
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Address Line | 4701 N KEYSTONE AVE SUITE 150
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-1554
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Country | US
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Telephone | 317-726-2121
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Fax | 317-726-2130
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL GOLDBERG
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Credential | MS
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Telephone | 317-726-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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