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General NPI Number Information
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NPI Number | 1841896586
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Entity Type | Organization
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Legal Business Name | CHOSEN CARE. INC.
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 9015 TOWN CENTER PKWY UNIT 126
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5305
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Country | US
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Telephone | 830-455-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 144 CLEMENS AVE
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-5613
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Country | US
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Telephone | 830-455-0101
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ANGELA WHITE
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Credential |
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Telephone | 832-523-2198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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