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General NPI Number Information
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NPI Number | 1487605523
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Entity Type | Organization
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Legal Business Name | CHOICE HEALTH SERVICES INC DBA
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 3201 UNIVERSITY DR E SUITE 475
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City | BRYAN
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State | TX
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Zip | 77802-3475
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Country | US
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Telephone | 979-774-5451
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Fax | 979-774-1961
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Provider Business Mailing Address
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Address Line | 3201 UNIVERSITY DR E SUITE 475
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City | BRYAN
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State | TX
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Zip | 77802-3475
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Country | US
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Telephone | 979-774-5451
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Fax | 979-774-1961
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | TERRI J KAHLA
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Credential | R.N.
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Telephone | 979-774-5451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0059208
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License Number State | TX
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