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General NPI Number Information
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NPI Number | 1265178016
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Entity Type | Organization
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Legal Business Name | MED ONE STOP, LLC
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 05/07/2022
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Provider Practice Location Address
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Address Line | 1211 N SHARTEL AVE STE 100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-2425
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Country | US
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Telephone | 405-724-9627
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Fax | 405-724-9670
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Provider Business Mailing Address
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Address Line | 3309 WESTWIND DR
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City | PLANO
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State | TX
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Zip | 75093-7986
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL HAYEK
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Credential |
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Telephone | 202-255-2012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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