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NPI 1790323079

NPI 1790323079 : FIRST CHOICE HOME CARE LLC : FORT WASHINGTON, MD

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General NPI Number Information
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    NPI Number           |    1790323079
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRST CHOICE HOME CARE LLC 
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Dates
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    Enumeration Date     |    12/17/2019
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    Last Update Date     |    01/05/2022
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Provider Practice Location Address
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    Address Line         |    7508 GLADE DR 
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    City                 |    FORT WASHINGTON
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    State                |    MD
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    Zip                  |    20744-1747
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    Country              |    US
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    Telephone            |    706-289-0132
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7508 GLADE DR 
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    City                 |    FORT WASHINGTON
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    State                |    MD
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    Zip                  |    20744-1747
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    Country              |    US
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    Telephone            |    706-289-0132
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     LISLYN  DUNCAN 
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    Credential           |    
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    Telephone            |    240-766-7967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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