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General NPI Number Information
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NPI Number | 1841212958
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Entity Type | Organization
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Legal Business Name | LADIES FIRST CHOICE INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 2337 BELLEAIR RD SUITE E
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City | CLEARWATER
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State | FL
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Zip | 33764-1729
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Country | US
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Telephone | 727-535-4446
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Fax | 727-796-3095
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Provider Business Mailing Address
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Address Line | 1930 TEMPLE TERRACE
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City | CLEARWATER
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State | FL
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Zip | 33764-6649
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Country | US
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Telephone | 727-791-8801
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Fax | 727-530-4003
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN A PAVLO
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Credential |
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Telephone | 727-535-4446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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