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General NPI Number Information
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NPI Number | 1831386325
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Entity Type | Organization
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Legal Business Name | CHOICE INTERVENTION SERVICES INC
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 804 E MEMORIAL DR
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City | AHOSKIE
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State | NC
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Zip | 27910-3914
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Country | US
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Telephone | 252-862-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 804 E MEMORIAL DR
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City | AHOSKIE
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State | NC
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Zip | 27910-3914
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Country | US
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Telephone | 252-862-1023
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. RONALD GATLING
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Credential |
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Telephone | 252-209-5458
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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 |
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License Number State |
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