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General NPI Number Information
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NPI Number | 1063741122
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Entity Type | Organization
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Legal Business Name | ONE STOP SERVICES CORP
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 12/18/2009
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Provider Practice Location Address
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Address Line | 1234 N CROWN AVE
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City | CINCINNATI
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State | OH
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Zip | 45999-0001
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Country | US
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Telephone | 713-417-4121
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10563
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City | CLEVELAND
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State | OH
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Zip | 44110-0563
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Country | US
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Telephone | 713-417-4121
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JESUS RODRIGUEZ
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Credential |
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Telephone | 713-417-4121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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