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General NPI Number Information
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NPI Number | 1043360076
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Entity Type | Organization
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Legal Business Name | MASTERSON CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 190 S UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-2234
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Country | US
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Telephone | 954-392-7703
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Fax | 954-433-8268
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Provider Business Mailing Address
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Address Line | 4991 SW 119TH AVE
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City | COOPER CITY
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State | FL
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Zip | 33330-5425
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Country | US
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Telephone | 954-392-7703
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Fax | 954-433-8268
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JOSEPH CRAIG MASTERSON
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Credential | D.C.
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Telephone | 954-392-7703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8706
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License Number State | FL
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