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General NPI Number Information
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NPI Number | 1457958878
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Entity Type | Organization
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Legal Business Name | YOUR CHOICE SENIOR CARE FAIRHOPE, LLC
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 21883 STATE HIGHWAY 181
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City | FAIRHOPE
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State | AL
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Zip | 36532-5286
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Country | US
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Telephone | 251-599-8101
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Fax | 251-217-8106
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Provider Business Mailing Address
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Address Line | 21883 STATE HIGHWAY 181
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City | FAIRHOPE
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State | AL
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Zip | 36532-5286
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Country | US
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Telephone | 251-599-8101
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Fax | 251-217-8106
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Authorized Official
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Title or Position | OWNER
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Name | PAUL KUNZ
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Credential |
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Telephone | 435-729-9303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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