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General NPI Number Information
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NPI Number | 1124638838
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Entity Type | Organization
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Legal Business Name | ONEBRIDGE SUPPORT SERVICES, LLC
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 387 MEDINA RD STE 600
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City | MEDINA
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State | OH
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Zip | 44256-9674
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Country | US
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Telephone | 330-267-7556
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Fax |
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Provider Business Mailing Address
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Address Line | 862 MARK DR
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City | AKRON
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State | OH
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Zip | 44313-5844
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Country | US
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Telephone | 330-267-7556
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANITA DANNETTE MURPHY
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Credential |
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Telephone | 330-267-7556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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