MEDICARE: DIALOG ONE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1326185620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIALOG ONE, LLC

Provider Business Mailing Address
First Line	:	2380 WYCLIFF ST
Second Line	:	SUITE 200
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1279
Country	:	US
Telephone Number	:	651-379-8600
Fax Number	:	651-379-8510

Provider Business Practice Location Address
First Line	:	2380 WYCLIFF STREET
Second Line	:	200
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1257
Country	:	US
Telephone Number	:	651-379-8600
Fax Number	:	651-379-8510

Authorized Official
Title or Position	:	PRESIDENT, CEO
Name	:	MR. ROBERTO FONTS
Credential	:
Telephone Number	:	651-379-8600

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	06/09/2015

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