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General NPI Number Information
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NPI Number | 1932433562
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE FAMILY LLC
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 2816 KNIGHTBRIDGE RD
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City | COLUMBIA
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State | SC
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Zip | 29223-2127
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Country | US
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Telephone | 803-413-9259
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Fax |
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Provider Business Mailing Address
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Address Line | 2816 KNIGHTBRIDGE RD
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City | COLUMBIA
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State | SC
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Zip | 29223-2127
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Country | US
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Telephone | 803-413-9259
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SELASIA NATASHA JENKINS
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Credential |
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Telephone | 803-413-9259
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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 | 2009-38961-38101
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License Number State | SC
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