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General NPI Number Information
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NPI Number | 1932258860
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Entity Type | Organization
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Legal Business Name | ARTHUR J MASSO
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 3855 SOUTHMOST RD FL 2
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City | BROWNSVILLE
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State | TX
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Zip | 78521-4863
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Country | US
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Telephone | 956-542-7173
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Fax | 956-542-7178
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Provider Business Mailing Address
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Address Line | 3855 SOUTHMOST RD FL 2
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City | BROWNSVILLE
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State | TX
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Zip | 78521-4863
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Country | US
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Telephone | 956-542-7173
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Fax | 956-542-7178
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. ARTHUR JULIAN MASSO
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Credential | R PH
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Telephone | 956-542-7173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 25131
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License Number State | TX
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