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General NPI Number Information
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NPI Number | 1346322849
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Entity Type | Individual
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Provider Name | TAMARA ELIZABETH MASON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 1522 JANES AVE
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City | SAGINAW
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State | MI
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Zip | 48601-1819
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Country | US
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Telephone | 989-755-3633
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Fax | 989-755-3614
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Provider Business Mailing Address
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Address Line | 8129 S FORDNEY RD
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City | SAINT CHARLES
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State | MI
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Zip | 48655-9762
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Country | US
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Telephone | 989-323-1873
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302033019
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License Number State | MI
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