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General NPI Number Information
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NPI Number | 1578819959
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE COMMUNITY HEALTH CENTERS
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 40 AUTUMN FERN TRL
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City | LILLINGTON
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State | NC
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Zip | 27546-5155
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Country | US
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Telephone | 910-364-0967
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Fax | 910-814-4061
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Provider Business Mailing Address
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Address Line | 40 AUTUMN FERN TRL
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City | LILLINGTON
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State | NC
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Zip | 27546-5155
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Country | US
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Telephone | 910-364-0967
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Fax | 910-814-4061
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Authorized Official
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Title or Position | CEO
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Name | SHEILA SIMMONS
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Credential |
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Telephone | 910-364-0971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 11320
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License Number State | NC
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