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General NPI Number Information
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NPI Number | 1962824672
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE HEALTHCARE INC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2178 HIGHWAY 62 412
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City | HIGHLAND
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State | AR
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Zip | 72542-9478
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Country | US
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Telephone | 870-994-2202
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Fax | 870-994-2328
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | CORNING
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State | AR
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Zip | 72422-0083
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Country | US
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Telephone | 870-857-3334
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Fax | 870-857-9934
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | SYDNEY STEVENS
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Credential |
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Telephone | 870-857-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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