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General NPI Number Information
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NPI Number | 1851413363
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE PROVIDER SERVICES, INC.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 713 E ESPERANZA AVE SUITE A
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City | MCALLEN
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State | TX
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Zip | 78501-1447
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Country | US
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Telephone | 956-631-1388
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Fax | 956-631-1397
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Provider Business Mailing Address
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Address Line | 713 E ESPERANZA AVE SUITE A
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City | MCALLEN
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State | TX
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Zip | 78501-1447
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Country | US
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Telephone | 956-631-1388
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Fax | 956-631-1397
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DR. ORLANDO ANTONIO JULIAN
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Credential | MD, MBA
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Telephone | 956-631-1388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 007998
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License Number State | TX
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