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General NPI Number Information
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NPI Number | 1073943395
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Entity Type | Individual
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Provider Name | YOLONDA MASON
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Gender | Female
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 122 THORNLESS ROSE CT
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City | LAS VEGAS
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State | NV
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Zip | 89183-5570
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Country | US
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Telephone | 404-988-3980
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 E FLAMINGO RD APT 215
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City | LAS VEGAS
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State | NV
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Zip | 89119-7442
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Country | US
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Telephone | 702-505-1503
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 36918-AL-4
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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