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General NPI Number Information
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NPI Number | 1497630776
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE CASE MANAGEMENT
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 829 FAIRMONT RD STE 101
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City | MORGANTOWN
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State | WV
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Zip | 26501-3892
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Country | US
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Telephone | 814-619-3398
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Fax |
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Provider Business Mailing Address
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Address Line | 119 JARI DR STE 4
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City | JOHNSTOWN
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State | PA
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Zip | 15904-6953
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Country | US
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Telephone | 814-619-3398
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. TOM G LAWSON
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Credential |
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Telephone | 814-619-3398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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