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General NPI Number Information
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NPI Number | 1265431563
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Entity Type | Individual
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Provider Name | ANDREW MASON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 7788 JEFFERSON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4342
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Country | US
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Telephone | 505-999-1600
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Fax | 505-999-1651
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Provider Business Mailing Address
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Address Line | 800 BRADBURY DR SE STE 116
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4310
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 99-82
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License Number State | NM
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