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General NPI Number Information
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NPI Number | 1407588114
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Entity Type | Organization
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Legal Business Name | ONE TO ONE HEALTH
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Dates
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Enumeration Date | 06/30/2022
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 2250 173RD ST
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City | HAMMOND
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State | IN
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Zip | 46323-2074
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Country | US
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Telephone | 765-494-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 1067 RIVERFRONT PKWY STE 201
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City | CHATTANOOGA
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State | TN
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Zip | 37402-2222
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Country | US
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Telephone | 423-902-9530
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Fax |
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Authorized Official
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Title or Position | CHIEF CLIENT OFFICER
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Name | JEN HODGES
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Credential |
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Telephone | 317-727-9148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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