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General NPI Number Information
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NPI Number | 1245928233
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Entity Type | Organization
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Legal Business Name | MASSARO CHIROPRACTIC
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 1515 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6641
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Country | US
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Telephone | 330-369-2225
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Fax | 330-394-2224
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Provider Business Mailing Address
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Address Line | 106 SPYGLASS CT SE
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City | WARREN
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State | OH
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Zip | 44484-5602
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Country | US
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Telephone | 330-718-2871
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. DEAN K MASSARO
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Credential | DC
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Telephone | 330-369-2225
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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 |
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License Number State |
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