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General NPI Number Information
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NPI Number | 1306589312
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Entity Type | Individual
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Provider Name | LUCY MASON MSOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 401 ORANGE PL
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City | WAUCHULA
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State | FL
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Zip | 33873-3417
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Country | US
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Telephone | 863-773-3231
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Fax |
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Provider Business Mailing Address
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Address Line | 622 9TH ST NE
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City | FORT MEADE
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State | FL
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Zip | 33841-2222
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 12019101-4201
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT25921
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License Number State | FL
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