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General NPI Number Information
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NPI Number | 1518771427
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE BEHAVIORAL HEALTH, INC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1806 N FLAMINGO RD STE 347
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1040
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Country | US
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Telephone | 786-562-4885
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Fax | 954-827-7680
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Provider Business Mailing Address
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Address Line | 1806 N FLAMINGO RD STE 347
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1040
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Country | US
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Telephone | 786-562-4885
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Fax | 954-827-7680
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Authorized Official
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Title or Position | OWNER
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Name | DORA SANTOS
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Credential | LMHC
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Telephone | 786-562-4885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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