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General NPI Number Information
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NPI Number | 1649618208
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Entity Type | Organization
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Legal Business Name | MSF MEDICAL SERVICES INC
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 804 EMMETT ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-5434
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Country | US
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Telephone | 407-205-4947
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Fax | 407-792-5696
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Provider Business Mailing Address
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Address Line | 12713 MAGNOLIA BAY BLVD
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City | CLERMONT
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State | FL
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Zip | 34711-8144
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Country | US
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Telephone | 407-205-4947
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Fax | 407-792-5696
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL S FRASURE
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Credential | ARNP
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Telephone | 407-205-4947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9173475
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License Number State | FL
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