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General NPI Number Information
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NPI Number | 1457203689
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Entity Type | Organization
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Legal Business Name | MSHALF LLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 1934 22ND AVE
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City | VERO BEACH
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State | FL
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Zip | 32960-3084
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Country | US
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Telephone | 415-531-3173
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Fax | 415-376-4515
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Provider Business Mailing Address
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Address Line | 2425 OLD VINELAND RD LOT 62
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City | KISSIMMEE
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State | FL
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Zip | 34746-5862
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Country | US
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Telephone | 415-531-3173
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Fax | 415-376-4515
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Authorized Official
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Title or Position | OWNER
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Name | MARC EDWARD MARCHIOLI
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Credential | OWNER
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Telephone | 415-531-3173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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