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General NPI Number Information
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NPI Number | 1245303296
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Entity Type | Organization
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Legal Business Name | MRSR,INC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4551 GRAND BLVD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-5120
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Country | US
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Telephone | 727-709-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 4551 GRAND BLVD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-5120
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE ROSSI
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Credential | LMT
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Telephone | 727-709-7510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number | MA36337
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License Number State | FL
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