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General NPI Number Information
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NPI Number | 1639831597
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE WEST COAST HHC, CORP
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 5621 STRAND BLVD SUITE 310A
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City | NAPLES
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State | FL
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Zip | 34110-7307
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Country | US
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Telephone | 239-325-8683
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Fax | 239-631-2932
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Provider Business Mailing Address
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Address Line | 5621 STRAND BLVD SUITE 310A
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City | NAPLES
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State | FL
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Zip | 34110-7307
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Country | US
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Telephone | 239-325-8683
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Fax | 239-631-2932
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JESSICA MONTERO DANIEL
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Credential | REGISTERED NURSE
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Telephone | 239-325-8683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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