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General NPI Number Information
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NPI Number | 1528673811
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Entity Type | Organization
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Legal Business Name | CHOIX INC
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Dates
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Enumeration Date | 09/13/2020
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Last Update Date | 09/13/2020
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Provider Practice Location Address
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Address Line | 1299 4TH ST STE 202E
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3028
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Country | US
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Telephone | 800-873-0406
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Fax |
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Provider Business Mailing Address
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Address Line | 1299 4TH ST STE 202E
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3028
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Country | US
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Telephone | 800-873-0406
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Fax |
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Authorized Official
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Title or Position | CEO & NURSE PRACTITIONER
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Name | CYNTHIA ADAM
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Credential | NP
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Telephone | 858-414-1430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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