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General NPI Number Information
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NPI Number | 1548691025
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE PHYSICIAN PARTNERS
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 555 E TACHEVAH DR STE 2E # 107
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5750
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Country | US
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Telephone | 760-668-0386
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 S DOUGLASS RD SUITE 250
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City | ANAHEIM
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State | CA
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Zip | 92806-6904
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Country | US
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Telephone | 714-428-6800
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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. JEFF KOURY
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Credential |
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Telephone | 714-428-6842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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