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General NPI Number Information
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NPI Number | 1144282120
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Entity Type | Individual
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Provider Name | PETER J MASON MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 350 S HAMILTON ST UNIT 501
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City | MADISON
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State | WI
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Zip | 53703-4186
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Country | US
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Telephone | 608-443-8931
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Fax |
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Provider Business Mailing Address
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Address Line | 350 S HAMILTON ST UNIT 501
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City | MADISON
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State | WI
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Zip | 53703-4186
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Country | US
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Telephone |
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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 | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 49077
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 49077-020
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 49077
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 49077
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License Number State | WI
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