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General NPI Number Information
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NPI Number | 1558541839
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Entity Type | Individual
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Provider Name | OBED NASSON SAINT-LOUIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 235 CITRUS TOWER BOULEVARD SUITE 104
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City | CLERMONT
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State | FL
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Zip | 34711
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Country | US
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Telephone | 352-404-8160
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Fax | 352-404-8560
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Provider Business Mailing Address
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Address Line | 235 CITRUS TOWER BLVD STE 104
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City | CLERMONT
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State | FL
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Zip | 34711-2711
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Country | US
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Telephone | 352-404-8160
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Fax | 352-404-8560
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME 126938
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 126938
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ME 126938
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | ME 126938
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License Number State | FL
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