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General NPI Number Information
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NPI Number | 1063453173
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Entity Type | Individual
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Provider Name | NATHAN M MASON ARNP
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 2730 S AVENUE B
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City | YUMA
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State | AZ
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Zip | 85364-6903
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Country | US
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Telephone | 928-344-9166
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Fax | 928-344-9168
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Provider Business Mailing Address
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Address Line | 9840 E LEAVENWORTH RD
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City | LEAVENWORTH
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State | WA
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Zip | 98826-9313
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Country | US
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Telephone | 509-548-7987
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30004609
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP2310
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License Number State | AZ
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