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General NPI Number Information
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NPI Number | 1841091766
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Entity Type | Individual
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Provider Name | EVELEN AZIZ-MASSOUD DC
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 906 MAIN ST N
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City | CARTHAGE
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State | TN
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Zip | 37030-1003
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Country | US
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Telephone | 615-735-9336
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Fax |
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Provider Business Mailing Address
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Address Line | 906 MAIN ST N
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City | CARTHAGE
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State | TN
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Zip | 37030-1003
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Country | US
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Telephone | 615-735-9336
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Fax |
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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 | 3851
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License Number State | TN
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