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General NPI Number Information
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NPI Number | 1437927449
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Entity Type | Organization
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Legal Business Name | PETER MASTERS LLC
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 100 3RD AVE W STE 130
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City | BRADENTON
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State | FL
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Zip | 34205-8659
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Country | US
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Telephone | 941-714-0592
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Fax |
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Provider Business Mailing Address
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Address Line | 8336 CANARY PALM CT
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City | SARASOTA
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State | FL
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Zip | 34238-3360
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Country | US
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Telephone | 860-899-4521
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER MASTERS
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Credential | DC
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Telephone | 941-714-0592
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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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