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General NPI Number Information
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NPI Number | 1346818481
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Entity Type | Organization
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Legal Business Name | ONESIMUS HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 1813 W HARVARD AVE STE 233
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City | ROSEBURG
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State | OR
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Zip | 97471-8704
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Country | US
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Telephone | 541-391-7506
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Fax | 541-391-7503
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Provider Business Mailing Address
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Address Line | 1224 NE WALNUT ST # 384
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City | ROSEBURG
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State | OR
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Zip | 97470-2026
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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 | OWNER
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Name | LESLIE C ABBOTT
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Credential | FNP
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Telephone | 407-382-9436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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