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General NPI Number Information
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NPI Number | 1538059910
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Entity Type | Organization
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Legal Business Name | MESSIAH MEDICAL PLLC
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1449 SW 74TH DR
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City | GAINESVILLE
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State | FL
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Zip | 32607-0013
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Country | US
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Telephone | 415-602-6781
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Fax |
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Provider Business Mailing Address
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Address Line | 1449 SW 74TH DR
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City | GAINESVILLE
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State | FL
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Zip | 32607-0013
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Country | US
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Telephone | 415-602-6781
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHADI MESSIAH
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Credential | MD
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Telephone | 415-602-6781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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