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General NPI Number Information
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NPI Number | 1316832678
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Entity Type | Organization
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Legal Business Name | THE MEPLE CORP
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 11363 SAN JOSE BLVD STE 100
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City | JACKSONVILLE
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State | FL
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Zip | 32223-7958
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Country | US
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Telephone | 904-767-0458
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Fax |
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Provider Business Mailing Address
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Address Line | 57 ALEMANY PL
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City | JACKSONVILLE
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State | FL
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Zip | 32259-7106
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Country | US
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Telephone | 786-266-9515
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMADO W CABRERA FERNANDEZ
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Credential | LMT
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Telephone | 786-266-9515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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