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General NPI Number Information
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NPI Number | 1164673653
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Entity Type | Organization
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Legal Business Name | MASON FIRST ASSIST PLLC
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 7777 FOREST LN
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City | DALLAS
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State | TX
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Zip | 75230-2505
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Country | US
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Telephone | 214-378-9898
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Fax | 214-378-9888
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Provider Business Mailing Address
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Address Line | 10830 N CENTRAL EXPY SUITE 120
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City | DALLAS
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State | TX
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Zip | 75231-1050
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Country | US
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Telephone | 214-378-9898
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Fax | 214-378-9888
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Authorized Official
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Title or Position | REGISTER NURSE FIRST ASSISTANT
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Name | TOMMY L MASON
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Credential | RNFA
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Telephone | 214-378-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN251139
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License Number State | TX
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