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General NPI Number Information
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NPI Number | 1659773778
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE HOME MEDICAL INC
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 720 N GALENA AVE
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City | GEARY
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State | OK
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Zip | 73040-1501
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Country | US
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Telephone | 405-884-5440
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Fax | 405-884-2749
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Provider Business Mailing Address
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Address Line | 720 N GALENA AVE PO BOX 47
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City | GEARY
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State | OK
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Zip | 73040-1501
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Country | US
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Telephone | 405-884-5440
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Fax | 405-884-2749
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CRUZ A MALDONADO
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Credential |
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Telephone | 405-582-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH-0602-0602
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH0602-0602
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License Number State | OK
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