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General NPI Number Information
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NPI Number | 1689918955
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE URGENT CARE CLINIC, PLLC
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 10/29/2018
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Provider Practice Location Address
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Address Line | 3725 MALL DR
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City | TEXARKANA
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State | TX
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Zip | 75501-2658
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Country | US
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Telephone | 903-306-0001
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Fax | 866-232-5707
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Provider Business Mailing Address
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Address Line | 3725 MALL DRIVE
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City | TEXARKANA
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State | TX
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Zip | 75501-7025
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Country | US
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Telephone | 903-306-0001
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Fax | 866-232-5707
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TONYA L DUBOIS
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Credential | PA
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Telephone | 903-306-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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