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General NPI Number Information
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NPI Number | 1710047170
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE HEALTHCARE SERVICES,INC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 3525 W PETERSON AVE T-18
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City | CHICAGO
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State | IL
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Zip | 60659-4668
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Country | US
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Telephone | 773-338-9844
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Fax | 773-338-9845
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Provider Business Mailing Address
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Address Line | 3225 W PETERSON AVE T-18
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City | CHICAGO
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State | IL
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Zip | 60659-3621
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Country | US
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Telephone | 773-338-9844
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Fax | 773-338-9845
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTAIN NWAEHIBE
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Credential |
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Telephone | 773-507-6271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1473766
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License Number State | IL
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