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General NPI Number Information
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NPI Number | 1477239515
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE FAMILY HEALTH CENTER, PLLC
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 5041 W NORTHERN AVE STE B
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City | GLENDALE
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State | AZ
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Zip | 85301-1539
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Country | US
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Telephone | 786-916-0637
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Fax |
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Provider Business Mailing Address
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Address Line | 10138 W PARKWAY DR
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City | TOLLESON
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State | AZ
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Zip | 85353-4408
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Country | US
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Telephone | 786-916-0637
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JANOI GONZALEZ CAMEJO
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Credential |
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Telephone | 786-916-0637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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