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General NPI Number Information
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NPI Number | 1659084952
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE INTEGRATED WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 01/02/2023
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Provider Practice Location Address
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Address Line | 2216 SOUTHGATE ST STE B
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City | ARLINGTON
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State | TX
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Zip | 76013-7633
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Country | US
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Telephone | 817-275-9249
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Fax |
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Provider Business Mailing Address
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Address Line | 2216 SOUTHGATE ST STE B
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City | ARLINGTON
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State | TX
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Zip | 76013-7633
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Country | US
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Telephone | 817-275-9249
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NADER JAMAL AWWAD
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Credential | DC
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Telephone | 817-275-9249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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