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General NPI Number Information
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NPI Number | 1518276906
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Entity Type | Organization
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Legal Business Name | DRX ONE HEALTH SERVICES, P.C.
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Dates
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Enumeration Date | 10/02/2010
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Last Update Date | 10/02/2010
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Provider Practice Location Address
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Address Line | 12417 FAIR OAKS BLVD #600
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City | FAIR OAKS
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State | CA
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Zip | 95628-2501
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Country | US
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Telephone | 916-503-2224
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Fax | 270-738-7550
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Provider Business Mailing Address
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Address Line | 12417 FAIR OAKS BLVD #600
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City | FAIR OAKS
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State | CA
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Zip | 95628-2501
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Country | US
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Telephone | 916-503-2224
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Fax | 270-738-7550
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY MOY
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Credential | MD
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Telephone | 916-806-9778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | G53062
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License Number State | CA
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