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General NPI Number Information
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NPI Number | 1992097539
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Entity Type | Organization
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Legal Business Name | MASSA CHIROPRACTIC OFFICES P.C
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 3154 DAVENPORT
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City | SAGINAW
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State | MI
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Zip | 48602
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Country | US
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Telephone | 989-793-5634
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Fax | 989-793-8985
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Provider Business Mailing Address
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Address Line | 3154 DAVENPORT
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City | SAGINAW
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State | MI
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Zip | 48602
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Country | US
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Telephone | 989-793-5634
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Fax | 989-793-8985
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD ALLEN MASSA
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Credential | D.C.
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Telephone | 989-793-5634
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | TM006855
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License Number State | MI
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