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General NPI Number Information
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NPI Number | 1477210110
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE SPECIALTY, LLC
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 116 VILLAGE ST STE 1
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City | SLIDELL
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State | LA
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Zip | 70458-5300
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Country | US
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Telephone | 866-665-3244
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Fax | 844-324-3244
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Provider Business Mailing Address
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Address Line | 600 COMMONS DR STE 101
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City | GALLATIN
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State | TN
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Zip | 37066-6331
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Country | US
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Telephone | 866-665-3244
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Fax | 844-324-3244
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARK OSBORNE
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Credential |
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Telephone | 615-562-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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