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General NPI Number Information
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NPI Number | 1033609706
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Entity Type | Individual
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Provider Name | JUSTIN A HOUY L.M.T. LICENSED MASS
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Gender | Male
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 8345 E. MARKET ST. SUITE C THE CHIROPRACTIC AND FUNCTIONAL NEUROLOGY CENTER
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City | WARREN
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State | OH
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Zip | 44484
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Country | US
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Telephone | 330-647-7373
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Fax | 237-223-2988
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Provider Business Mailing Address
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Address Line | 8345 E. MARKET ST SUITE C
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City | WARREN
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State | OH
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Zip | 44484
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Country | US
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Telephone | 330-647-7373
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Fax | 237-223-2988
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.013435
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License Number State | OH
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