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General NPI Number Information
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NPI Number | 1700157500
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE TRANSPORTATION
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 4118 BOTANY LN
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City | HOUSTON
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State | TX
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Zip | 77047-1808
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Country | US
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Telephone | 575-584-1895
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Fax | 575-584-1895
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Provider Business Mailing Address
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Address Line | P.O.BOX 204
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City | VAUGHN
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State | NM
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Zip | 88353
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Country | US
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Telephone | 575-584-1895
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Fax | 575-584-1895
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONALD EDISON
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Credential |
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Telephone | 575-584-1895
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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 | K01935698
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License Number State | KS
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