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General NPI Number Information
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NPI Number | 1770760423
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE MEDICAL AND REHABILITATION
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 197 JEFFERSON PARKWAY
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City | NEWNAN
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State | GA
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Zip | 30271
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Country | US
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Telephone | 770-251-4400
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Fax | 770-253-9008
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Provider Business Mailing Address
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Address Line | PO BOX 72855 197 JEFFERSON PARKWAY
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City | NEWNAN
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State | GA
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Zip | 30271-2855
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Country | US
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Telephone | 770-251-4400
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Fax | 770-253-9008
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. KAREN D STRICKLAND
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Credential |
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Telephone | 770-251-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | GA
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