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General NPI Number Information
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NPI Number | 1568238350
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE ORTHOTICS PROSTHETICS AND DME
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 202 NORTHPARK DRIVE
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City | MONROE
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State | LA
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Zip | 71203
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Country | US
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Telephone | 810-820-8926
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Fax | 810-820-8940
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Provider Business Mailing Address
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Address Line | 2351 STONEBRIDGE DR BLDG G
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City | FLINT
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State | MI
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Zip | 48532-5407
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Country | US
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Telephone | 810-820-8926
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Fax | 810-820-8940
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Authorized Official
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Title or Position | OWNER
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Name | JAMAR MARCELL WILLIAMS
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Credential |
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Telephone | 810-820-8926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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