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General NPI Number Information
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NPI Number | 1174391049
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Entity Type | Individual
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Provider Name | TENECIA MASON
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Gender | Female
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 11006 SPENCER HWY
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City | LA PORTE
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State | TX
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Zip | 77571-4416
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Country | US
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Telephone | 281-470-2100
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Fax | 281-867-8219
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Provider Business Mailing Address
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Address Line | PO BOX 850001, DEPT 8340
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City | ORLANDO
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State | FL
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Zip | 32885-0001
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Country | US
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Telephone | 813-536-7277
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Fax | 855-830-1722
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F11230640
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License Number State | TX
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