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General NPI Number Information
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NPI Number | 1073735221
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Entity Type | Organization
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Legal Business Name | MASON FAMILY DENTISTRY
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 4585 N HIGHWAY 7 STE 13
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909
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Country | US
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Telephone | 501-984-5177
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Fax | 501-984-6350
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Provider Business Mailing Address
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Address Line | 4585 N HIGHWAY 7 STE 13
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909-8202
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Country | US
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Telephone | 501-984-5177
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Fax | 501-984-6350
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN CONLEY MASON
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Credential | D.D.S.
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Telephone | 501-984-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3388
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License Number State | AR
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