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General NPI Number Information
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NPI Number | 1407455256
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Entity Type | Organization
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Legal Business Name | ONE QUEEN 6 ROSES
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 6430 CHAMBERSBURG RD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-3946
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Country | US
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Telephone | 937-623-8277
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Fax |
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Provider Business Mailing Address
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Address Line | 6430 CHAMBERSBURG RD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-3946
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Country | US
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Telephone | 937-623-8277
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Fax |
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Authorized Official
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Title or Position | C EO
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Name | NASER A JABER
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Credential |
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Telephone | 937-623-8277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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