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General NPI Number Information
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NPI Number | 1003908153
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Entity Type | Individual
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Provider Name | ALAN EDWARD MASON D.PH, CGP, FASCP
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4500 N COOPER AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-7803
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Country | US
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Telephone | 405-524-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 12604 COBBLESTONE PKWY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73142-2217
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Country | US
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Telephone |
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9381
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License Number State | OK
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