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General NPI Number Information
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NPI Number | 1679160428
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE INCLUSIVE HOME GROUP LLC
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 1008 MEADOWLARK DR
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City | ARLINGTON
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State | TX
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Zip | 76017-6119
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Country | US
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Telephone | 972-365-1363
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 MEADOWLARK DR
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City | ARLINGTON
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State | TX
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Zip | 76017-6119
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Country | US
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Telephone | 972-365-1363
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. SHERIDTH ABRO
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Credential |
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Telephone | 972-365-1363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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