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General NPI Number Information
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NPI Number | 1881123909
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Entity Type | Organization
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Legal Business Name | ONE HEALTHCARE LLC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1722 ROUTH ST STE 900
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City | DALLAS
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State | TX
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Zip | 75201-2588
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Country | US
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Telephone | 972-200-0539
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Fax |
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Provider Business Mailing Address
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Address Line | 1722 ROUTH ST STE 900
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City | DALLAS
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State | TX
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Zip | 75201-2588
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Country | US
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Telephone | 972-200-0539
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA SUMLER
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Credential |
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Telephone | 972-200-0539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA08075
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License Number State | TX
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