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General NPI Number Information
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NPI Number | 1326086216
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Entity Type | Individual
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Provider Name | PRIVILAGE MASONI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/07/2019
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Provider Practice Location Address
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Address Line | 1032 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10301-3626
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Country | US
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Telephone | 718-448-7543
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Fax | 718-448-0045
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Provider Business Mailing Address
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Address Line | PO BOX 40769
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City | STATEN ISLAND
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State | NY
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Zip | 10304-0769
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Country | US
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Telephone | 718-448-7543
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Fax | 718-448-0045
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 18629
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 246241
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 246241
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License Number State | NY
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