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General NPI Number Information
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NPI Number | 1033632690
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Entity Type | Individual
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Provider Name | KASSANDRA MARIE MASON LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5353 MISSION CENTER RD STE 224
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City | SAN DIEGO
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State | CA
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Zip | 92108-1304
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Country | US
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Telephone | 619-688-5855
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Fax | 619-291-3310
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Provider Business Mailing Address
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Address Line | PO BOX 609001
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City | SAN DIEGO
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State | CA
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Zip | 92160-9001
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Country | US
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Telephone | 619-528-4600
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Fax | 619-528-4625
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT100059
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License Number State | CA
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