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General NPI Number Information
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NPI Number | 1023608999
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Entity Type | Organization
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Legal Business Name | POSITIVE ASSISTANCE, INC.
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 7156 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6751
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Country | US
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Telephone | 407-993-6193
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Fax |
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Provider Business Mailing Address
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Address Line | 7156 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6751
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Country | US
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Telephone | 407-412-6569
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Fax | 407-930-9443
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Authorized Official
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Title or Position | CEO
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Name | MR. ANDRE ANTENOR
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Credential |
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Telephone | 863-242-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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