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General NPI Number Information
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NPI Number | 1023272549
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Entity Type | Organization
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Legal Business Name | AARON MASON MD, PA
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 343 W HOUSTON ST SUITE 206
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2107
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Country | US
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Telephone | 210-913-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 122 TALL OAK DR
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1316
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Country | US
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Telephone | 210-913-6122
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Fax | 210-704-3581
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Authorized Official
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Title or Position | PRESIDENT
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Name | AARON CORDE MASON
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Credential | MD
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Telephone | 210-913-6122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M5358
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | M5358
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License Number State | TX
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