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General NPI Number Information
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NPI Number | 1619771839
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Entity Type | Organization
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Legal Business Name | MASADASA, LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 2295 S HIAWASSEE RD STE 104
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City | ORLANDO
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State | FL
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Zip | 32835-8748
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Country | US
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Telephone | 754-377-7332
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Fax |
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Provider Business Mailing Address
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Address Line | 243 KNOLLWOOD DR
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City | DAVENPORT
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State | FL
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Zip | 33837-8744
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Country | US
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Telephone | 754-207-7179
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SABINE MORPEAU DUVIVIER
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Credential |
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Telephone | 407-377-7332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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