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General NPI Number Information
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NPI Number | 1275205528
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Entity Type | Individual
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Provider Name | HALEY RAY MASON AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 2301 ELDORADO PKWY STE 100
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City | MCKINNEY
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State | TX
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Zip | 75070-7527
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Country | US
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Telephone | 972-330-4644
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Fax | 972-600-1272
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Provider Business Mailing Address
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Address Line | 11500 STATE HIGHWAY 121 STE 320
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City | FRISCO
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State | TX
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Zip | 75035-9346
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Country | US
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Telephone | 214-618-0048
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1056014
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1056014
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License Number State | TX
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