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General NPI Number Information
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NPI Number | 1750436424
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Entity Type | Organization
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Legal Business Name | ONE STOP MEDICAL CENTER INC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2880 W OAKLAND PARK BLVD STE 207
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1354
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Country | US
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Telephone | 954-535-2231
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Fax |
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Provider Business Mailing Address
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Address Line | 2880 W OAKLAND PARK BLVD STE 207
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1354
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Country | US
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Telephone | 954-535-2231
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MADELENA SOUTO
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Credential |
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Telephone | 954-535-2231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | HCC 7444
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License Number State | FL
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