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General NPI Number Information
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NPI Number | 1598036063
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Entity Type | Organization
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Legal Business Name | A WISE CHOICE FL MEDICAL BILLING COMPANY, LLC.
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Dates
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Enumeration Date | 01/15/2012
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 1326 MONTERAY WAY
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City | GREENACRES
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State | FL
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Zip | 33413-3010
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Country | US
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Telephone | 561-526-3950
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Fax | 561-828-3163
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Provider Business Mailing Address
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Address Line | PO BOX 16414
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City | WEST PALM BEACH
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State | FL
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Zip | 33416-6414
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Country | US
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Telephone | 561-526-3950
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Fax | 561-828-3163
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. DIANA CAROL JACKSON
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Credential | BILLER,CODER,COLLECT
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Telephone | 561-526-3950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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