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General NPI Number Information
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NPI Number | 1568351179
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Entity Type | Organization
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Legal Business Name | OMS SOLUTIONS PLLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 5638 W HAUSMAN RD STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4885
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Country | US
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Telephone | 618-402-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 4447 N CENTRAL EXPY STE 110
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City | DALLAS
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State | TX
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Zip | 75205-4246
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Country | US
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Telephone | 618-402-6622
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF INFRASTRUCTURE
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Name | CLARK A PETERSEN
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Credential |
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Telephone | 618-402-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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