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General NPI Number Information
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NPI Number | 1922047984
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Entity Type | Organization
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Legal Business Name | MASSEY FAMILY CHIROPRACTIC & WELLNESS CENTER PC
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 2435 DEAN STREET UNIT D
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City | ST CHARLES
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State | IL
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Zip | 60175-4827
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Country | US
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Telephone | 630-444-1599
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Fax | 630-444-1825
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Provider Business Mailing Address
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Address Line | 2435 DEAN STREET UNIT D
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City | ST CHARLES
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State | IL
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Zip | 60175-4827
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Country | US
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Telephone | 630-444-1599
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Fax | 630-444-1825
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIN ELIZABETH MASSEY
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Credential | DC
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Telephone | 630-444-1599
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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 | 038-010356
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License Number State | IL
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