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General NPI Number Information
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NPI Number | 1538049358
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE CARE CENTER, CORP
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 5190 NW 167TH ST STE 309
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6338
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Country | US
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Telephone | 305-317-0097
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Fax | 305-317-0098
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Provider Business Mailing Address
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Address Line | 5190 NW 167TH ST STE 309
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6338
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Country | US
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Telephone | 305-317-0097
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Fax | 305-317-0098
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Authorized Official
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Title or Position | OWNER
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Name | LAZARO ALFONSO HERNANDEZ
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Credential |
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Telephone | 305-317-0097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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