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General NPI Number Information
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NPI Number | 1982473344
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE ADULT FOSTER CARE, INC
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 187A HIGH STREET
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City | HOLYOKE
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State | MA
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Zip | 01040
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Country | US
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Telephone | 413-322-8614
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Fax | 413-875-6009
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Provider Business Mailing Address
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Address Line | 187A HIGH STREET
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City | HOLYOKE
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State | MA
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Zip | 01040
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Country | US
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Telephone | 413-322-8614
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Fax | 413-875-6009
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Authorized Official
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Title or Position | OWNER
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Name | MARC RAYNALD BEAULIEU
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Credential |
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Telephone | 413-539-1479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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