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General NPI Number Information
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NPI Number | 1871193607
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Entity Type | Organization
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Legal Business Name | MASSAIE SERVICES INC
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 15 1ST ST SE STE 220
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City | ROCHESTER
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State | MN
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Zip | 55904-3800
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Country | US
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Telephone | 507-202-2501
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Fax | 507-258-4476
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | ROCHESTER
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State | MN
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Zip | 55903-0488
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Country | US
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Telephone | 507-202-2501
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Fax | 507-258-4476
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Authorized Official
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Title or Position | OWNER
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Name | AMGAD HASSAN MOHAMED ELNASEIH
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Credential | CEO
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Telephone | 507-202-2501
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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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