=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770408577
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PURE CHOICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2026
-----------------------------------------------------
Last Update Date | 08/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1907 W CAMELBACK RD
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85015-3439
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-368-4922
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10555 N 58TH DR
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85302-1360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-490-8526
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF CLIENT EDUCATION
-----------------------------------------------------
Name | MR. JAMES CASEY BORN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 602-490-8526
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0050X
-----------------------------------------------------
Taxonomy Name | Non-Surgical Family Planning Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------