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General NPI Number Information
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NPI Number | 1205487014
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Entity Type | Organization
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Legal Business Name | OZONE CONSULTING STL
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 14169 MANCHESTER RD STE C
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City | MANCHESTER
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State | MO
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Zip | 63011-4525
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Country | US
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Telephone | 636-220-1470
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Fax | 636-220-1468
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Provider Business Mailing Address
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Address Line | 14169 MANCHESTER RD STE C
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City | MANCHESTER
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State | MO
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Zip | 63011-4525
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Country | US
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Telephone | 636-220-1470
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Fax | 636-220-1468
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | REGINA SIMO
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Credential |
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Telephone | 314-308-7681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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