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General NPI Number Information
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NPI Number | 1790767200
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE ADMINISTRATORS, INC.
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3950 LONG BEACH BLVD SUITE 101
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City | LONG BEACH
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State | CA
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Zip | 90807-5411
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Country | US
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Telephone | 562-424-8001
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Fax | 562-424-5570
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Provider Business Mailing Address
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Address Line | 3950 LONG BEACH BLVD SUITE 101
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City | LONG BEACH
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State | CA
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Zip | 90807-5411
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Country | US
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Telephone | 562-424-8001
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Fax | 562-424-5570
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WILLIAM T. ROSS
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Credential |
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Telephone | 562-424-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 2061585
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License Number State | CA
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