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General NPI Number Information
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NPI Number | 1457605537
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Entity Type | Organization
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Legal Business Name | SENIORS FIRST CHOICE INC
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 12/08/2012
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Provider Practice Location Address
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Address Line | 7286 HANOVER GREEN DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-1710
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Country | US
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Telephone | 804-789-1569
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Fax | 804-789-1572
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Provider Business Mailing Address
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Address Line | 8246 LAUREL MEADOWS DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4634
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Country | US
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Telephone | 804-789-1569
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Fax | 804-789-1572
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOHN CHARLES MORRIS JR.
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Credential | RN, ALFA
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Telephone | 804-789-1569
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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 | HCO-13712
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License Number State | VA
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