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General NPI Number Information
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NPI Number | 1346290129
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Entity Type | Individual
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Provider Name | JAMES VINCENT MASONE DC
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 29 MILLER WOODS DR
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City | MILLER PLACE
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State | NY
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Zip | 11764-1524
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Country | US
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Telephone | 631-476-7330
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Fax | 631-642-9242
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Provider Business Mailing Address
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Address Line | PO BOX 5140
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City | MILLER PLACE
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State | NY
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Zip | 11764-1104
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Country | US
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Telephone | 631-476-7330
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Fax | 631-642-9242
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X008311
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License Number State | NY
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