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General NPI Number Information
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NPI Number | 1568323145
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Entity Type | Organization
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Legal Business Name | MY CHOICE PRIMARY CARE, PLLC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2623 MCCORMICK DR STE 104
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City | CLEARWATER
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State | FL
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Zip | 33759-1046
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Country | US
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Telephone | 727-607-0504
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Fax | 833-760-4065
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Provider Business Mailing Address
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Address Line | 2623 MCCORMICK DR STE 104
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City | CLEARWATER
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State | FL
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Zip | 33759-1046
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Country | US
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Telephone | 727-607-0504
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Fax | 833-760-4065
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. TEERESA SISODIA
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Credential | MD
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Telephone | 843-725-9193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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