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General NPI Number Information
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NPI Number | 1568768513
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Entity Type | Organization
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Legal Business Name | VICTOR J MASI DO PC
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 376 COURT ST
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City | BROOKLYN
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State | NY
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Zip | 11231-4331
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Country | US
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Telephone | 718-625-5449
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Fax | 718-625-3189
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Provider Business Mailing Address
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Address Line | 376 COURT ST
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City | BROOKLYN
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State | NY
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Zip | 11231-4331
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Country | US
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Telephone | 718-625-5449
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Fax | 718-625-3189
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTOR J MASI
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Credential | D.O.
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Telephone | 718-625-5449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 198455
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License Number State | NY
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