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General NPI Number Information
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NPI Number | 1154996403
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Entity Type | Individual
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Provider Name | COURTNEY LEIGH MASON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 132 SOUTHLAND DR # 1A
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City | LEXINGTON
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State | KY
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Zip | 40503-1924
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Country | US
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Telephone | 859-523-5902
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Fax |
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Provider Business Mailing Address
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Address Line | 200 GRACE LN
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-9098
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Country | US
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Telephone | 720-629-7139
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 008251
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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