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General NPI Number Information
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NPI Number | 1225669997
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Entity Type | Individual
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Provider Name | CASSI D MASON MIDWIFE
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 318 COPPERT ST
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City | HUNTSVILLE
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State | AR
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Zip | 72740-8105
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Country | US
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Telephone | 479-325-8861
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Fax | 470-308-0198
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Provider Business Mailing Address
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Address Line | 408 MADISON 1435
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City | HUNTSVILLE
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State | AR
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Zip | 72740-8105
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Country | US
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Telephone | 479-325-8861
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | AR
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