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General NPI Number Information
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NPI Number | 1407160534
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Entity Type | Organization
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Legal Business Name | MASON ORTH PC MN
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 109 5TH ST NE # 1/2
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City | LITTLE FALLS
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State | MN
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Zip | 56345-2732
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Country | US
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Telephone | 320-632-9224
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Fax | 320-632-6303
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Provider Business Mailing Address
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Address Line | 109 5TH ST NE # 1/2
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City | LITTLE FALLS
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State | MN
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Zip | 56345-2732
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Country | US
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Telephone | 320-632-9224
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Fax | 320-632-6303
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | MR. BENJAMIN DAVID GRAMS
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Credential | D.C.
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Telephone | 320-632-9224
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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 | 1028
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License Number State | MN
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