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General NPI Number Information
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NPI Number | 1801690474
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE DIAGNOSTIC SOLUTIONS
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 200 N SAINT ANDREWS ST STE 2
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City | DOTHAN
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State | AL
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Zip | 36303-4809
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Country | US
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Telephone | 334-405-8596
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Fax | 334-405-8596
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Provider Business Mailing Address
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Address Line | 107 PETERSBURG CT
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City | DOTHAN
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State | AL
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Zip | 36305-4301
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Country | US
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Telephone | 334-405-8596
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHABREKIA SHORTER
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Credential | LPN
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Telephone | 334-405-8596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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