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General NPI Number Information
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NPI Number | 1619419363
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE FAMILY AND ORTHOPEDIC URGENT CARE CENTER
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Dates
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Enumeration Date | 11/11/2016
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Last Update Date | 11/11/2016
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Provider Practice Location Address
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Address Line | 420 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3430
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Country | US
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Telephone | 910-484-1210
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Fax | 910-484-1347
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Provider Business Mailing Address
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Address Line | 420 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3430
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Country | US
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Telephone | 910-484-1210
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Fax | 910-484-1347
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOE SMITH JR.
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Credential | PA-C
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Telephone | 910-484-1210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NC
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