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General NPI Number Information
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NPI Number | 1902669682
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Entity Type | Organization
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Legal Business Name | MASTERS FAMILY MEDICAL, PLLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 234 CENTRAL AVE W
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City | JAMESTOWN
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State | TN
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Zip | 38556-3557
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Country | US
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Telephone | 931-879-8139
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Fax | 931-879-0221
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Provider Business Mailing Address
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Address Line | PO BOX 90
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City | CLARKRANGE
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State | TN
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Zip | 38553-0118
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Country | US
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Telephone | 931-310-2900
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ALISHA N MASTERS
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Credential | FNP
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Telephone | 931-310-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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