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General NPI Number Information
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NPI Number | 1992860811
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Entity Type | Individual
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Provider Name | MARY ANN MUSA D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 1915-2 EAST WEST PARKWAY
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City | ORANGE PARK
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State | FL
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Zip | 32003-4908
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Country | US
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Telephone | 904-269-1799
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Fax | 904-269-0970
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Provider Business Mailing Address
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Address Line | 1915-2 EAST WEST PARKWAY
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City | ORANGE PARK
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State | FL
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Zip | 32003-4908
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Country | US
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Telephone | 904-269-1799
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Fax | 904-269-0970
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH0008348
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License Number State | FL
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