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General NPI Number Information
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NPI Number | 1588757926
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE RX INFUSION LLC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 111 NW 183RD ST STE 110
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4537
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Country | US
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Telephone | 305-653-4270
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Fax | 305-653-4208
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Provider Business Mailing Address
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Address Line | 111 NW 183RD ST STE 110
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4537
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Country | US
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Telephone | 305-653-4270
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Fax | 305-653-4208
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Authorized Official
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Title or Position | MANAGER
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Name | MICHAEL MMCRAY
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Credential |
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Telephone | 786-357-0203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PH21754
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License Number State | FL
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