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General NPI Number Information
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NPI Number | 1083041024
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Entity Type | Individual
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Provider Name | ANDREA MASON RN
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Gender | Female
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Dates
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Enumeration Date | 10/05/2013
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Last Update Date | 10/05/2013
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Provider Practice Location Address
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Address Line | 1700 COMMERCE ST SUITE 660
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City | DALLAS
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State | TX
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Zip | 75201-5314
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Country | US
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Telephone | 800-985-7801
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Fax | 800-985-7801
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Provider Business Mailing Address
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Address Line | 2378 E LEDBETTER DR
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City | DALLAS
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State | TX
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Zip | 75216-7410
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Country | US
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Telephone | 469-658-6437
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Fax | 800-985-7801
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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