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General NPI Number Information
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NPI Number | 1881835346
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Entity Type | Organization
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Legal Business Name | MASON CHROPRACTIC INC
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 462 S MASON RD STE 300
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City | KATY
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State | TX
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Zip | 77450-2451
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Country | US
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Telephone | 713-468-1272
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Fax | 713-980-3905
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Provider Business Mailing Address
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Address Line | 1160 BLALOCK ROAD
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City | HOUSTON
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State | TX
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Zip | 77055
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Country | US
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Telephone | 713-468-1272
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Fax | 713-980-3905
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LINDY MORROW
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Credential |
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Telephone | 713-468-1272
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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 | DC11039
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License Number State | TX
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