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NPI 1396707568

NPI 1396707568 : HOWARD K MASON MD : SHELBY, NC

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General NPI Number Information
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    NPI Number           |    1396707568
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    Entity Type          |    Individual 
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    Provider Name        |    HOWARD K MASON MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/04/2006
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    Last Update Date     |    07/01/2020
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Provider Practice Location Address
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    Address Line         |    1201 S POST RD STE 100 
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    City                 |    SHELBY
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    State                |    NC
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    Zip                  |    28152-7438
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    Country              |    US
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    Telephone            |    704-481-7001
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    Fax                  |    704-445-4582
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Provider Business Mailing Address
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    Address Line         |    6900 FARMINGDALE DR 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28212-5551
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    Country              |    US
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    Telephone            |    704-536-6853
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    Fax                  |    704-445-4582
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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        |    2084A0401X
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    Taxonomy Name        |    Addiction Medicine (Psychiatry & Neurology) Physician
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    License Number       |    30206
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    30206
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    License Number State |    NC
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