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General NPI Number Information
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NPI Number | 1235901752
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Entity Type | Organization
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Legal Business Name | MASVIDA HEALTH CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 2021 S NICKLAS AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73128-3010
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Country | US
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Telephone | 682-371-9996
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Fax |
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Provider Business Mailing Address
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Address Line | 133 NURSERY LN
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City | FORT WORTH
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State | TX
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Zip | 76114-4334
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Country | US
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Telephone | 817-704-3103
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Fax |
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Authorized Official
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Title or Position | SVP OF COMPLIANCE
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Name | BRANDI WHITELEY
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Credential |
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Telephone | 817-704-3103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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