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General NPI Number Information
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NPI Number | 1407191455
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Entity Type | Organization
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Legal Business Name | CHOICE MEDICAL SOLUTIONS
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 03/15/2013
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Provider Practice Location Address
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Address Line | 707 W MARKET ST SUITE A
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City | ATHENS
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State | AL
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Zip | 35611-2463
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Country | US
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Telephone | 256-262-9310
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Fax | 256-262-9320
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Provider Business Mailing Address
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Address Line | 707 W MARKET ST SUITE A
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City | ATHENS
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State | AL
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Zip | 35611-2463
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Country | US
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Telephone | 256-262-9310
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Fax | 256-262-9320
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Authorized Official
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Title or Position | OWNER
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Name | FRANCENE GAYLE
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Credential | M.D.
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Telephone | 256-262-9310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 87
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License Number State | AL
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