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General NPI Number Information
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NPI Number | 1710359716
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Entity Type | Organization
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Legal Business Name | NEW CHOICE HEALTHCARE GROUP
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 4700 MILLENIA BLVD SUITE 175
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City | ORLANDO
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State | FL
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Zip | 32839-6013
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Country | US
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Telephone | 407-362-0901
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 MILLENIA BLVD SUITE 175
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City | ORLANDO
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State | FL
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Zip | 32839-6013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAN CRUZ
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Credential |
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Telephone | 407-362-0901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | ME123606
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License Number State | FL
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