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General NPI Number Information
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NPI Number | 1902869043
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE FAMILY HEALTHCARE
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 4109 WAKE FOREST RD SUITE 100
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City | RALEIGH
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State | NC
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Zip | 27609-2510
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Country | US
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Telephone | 919-954-0050
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Fax | 919-954-1306
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Provider Business Mailing Address
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Address Line | 4109 WAKE FOREST RD SUITE 100
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City | RALEIGH
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State | NC
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Zip | 27609-2510
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Country | US
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Telephone | 919-954-0050
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Fax | 919-954-1306
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. WENDI DAVIS
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Credential |
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Telephone | 919-954-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1226
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2806
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26547
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 24304
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License Number State | NC
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