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General NPI Number Information
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NPI Number | 1902311186
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Entity Type | Organization
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Legal Business Name | OR SOLUTIONS INC
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Dates
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Enumeration Date | 12/09/2017
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 1501 SECRET RAVINE PKWY UNIT 527
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City | ROSEVILLE
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State | CA
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Zip | 95661-6005
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Country | US
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Telephone | 916-960-6679
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Fax | 916-780-1679
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Provider Business Mailing Address
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Address Line | PO BOX 2367
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City | GRANITE BAY
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State | CA
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Zip | 95746-2367
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Country | US
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Telephone | 916-622-3609
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Fax | 916-780-1679
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Authorized Official
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Title or Position | MANAGER
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Name | SANDRA L KOCSIS
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Credential |
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Telephone | 916-622-3609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 19185
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License Number State | CA
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