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General NPI Number Information
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NPI Number | 1659736627
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE HEALTH
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Dates
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Enumeration Date | 12/17/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12937 KENYON ST NE
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City | BLAINE
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State | MN
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Zip | 55449-4991
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Country | US
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Telephone | 612-532-4086
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Fax |
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Provider Business Mailing Address
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Address Line | 12937 KENYON ST NE
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City | BLAINE
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State | MN
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Zip | 55449-4991
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Country | US
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Telephone | 612-532-4086
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS AFIFA YASSIN
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Credential | BUSINESS
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Telephone | 612-532-4086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | MN
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