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General NPI Number Information
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NPI Number | 1942737200
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Entity Type | Organization
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Legal Business Name | ASA HEALTH, INC.
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 870 CLARK ST STE 1010
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City | OVIEDO
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State | FL
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Zip | 32765-9270
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Country | US
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Telephone | 407-359-5098
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Fax | 407-365-5119
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Provider Business Mailing Address
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Address Line | 870 CLARK ST STE 1010
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City | OVIEDO
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State | FL
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Zip | 32765-9270
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Country | US
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Telephone | 407-359-5098
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Fax | 407-365-5119
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SYED ARSHAD HASAN
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Credential | MD
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Telephone | 407-359-5098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME73203
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License Number State | FL
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