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General NPI Number Information
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NPI Number | 1528648730
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE HOME HEALTHCARE LATHROP INC
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 2321 W MARCH LN STE 220A
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City | STOCKTON
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State | CA
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Zip | 95207-5261
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Country | US
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Telephone | 209-451-3242
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 W MARCH LN STE 220A
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City | STOCKTON
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State | CA
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Zip | 95207-5261
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. MOHAMMAD AAMIR HAYAT
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Credential |
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Telephone | 209-451-3242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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