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General NPI Number Information
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NPI Number | 1871279596
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE NP TELEHEALTH
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 10301 CEDAR BREAKS VW
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City | MCKINNEY
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State | TX
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Zip | 75072-8966
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Country | US
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Telephone | 469-343-4364
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Fax |
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Provider Business Mailing Address
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Address Line | 10301 CEDAR BREAKS VW
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City | MCKINNEY
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State | TX
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Zip | 75072-8966
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ANGIE OLIVER
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Credential | AGPCNP-BC
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Telephone | 469-343-4364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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