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NPI 1356520688

NPI 1356520688 : MCCAFFREY & MASON CHIROPRACTIC PC : SAN CARLOS, CA

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General NPI Number Information
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    NPI Number           |    1356520688
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCCAFFREY & MASON CHIROPRACTIC PC 
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Dates
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    Enumeration Date     |    11/02/2007
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    Last Update Date     |    03/30/2017
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Provider Practice Location Address
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    Address Line         |    1100 LAUREL ST., SUITE B 
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    City                 |    SAN CARLOS
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    State                |    CA
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    Zip                  |    94070
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    Country              |    US
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    Telephone            |    650-598-5414
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    Fax                  |    650-508-4566
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Provider Business Mailing Address
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    Address Line         |    1100 LAUREL ST., SUITE B 
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    City                 |    SAN CARLOS
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    State                |    CA
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    Zip                  |    94070
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    Country              |    US
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    Telephone            |    650-598-5414
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    Fax                  |    650-508-4566
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Authorized Official
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    Title or Position    |    OWNER/DOCTOR/VICE PRES
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    Name                 |    DR. JULIA ANN MASON 
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    Credential           |    D.C.
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    Telephone            |    408-390-4564
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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       |    DC29374
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    License Number State |    CA
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