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General NPI Number Information
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NPI Number | 1831173368
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE INFUSION LLC
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3800 S CONGRESS AVE SUITE 11
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City | BOYNTON BEACH
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State | FL
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Zip | 33426
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Country | US
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Telephone | 561-736-5134
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Fax | 561-736-5176
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Provider Business Mailing Address
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Address Line | 3800 S CONGRESS AVE SUITE 11
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City | BOYNTON BEACH
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State | FL
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Zip | 33426
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Country | US
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Telephone | 561-736-5134
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Fax | 561-736-5176
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Authorized Official
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Title or Position | CO-OWNER
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Name | KEN GINSBURG
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Credential |
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Telephone | 561-736-5134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH19557
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License Number State | FL
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