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General NPI Number Information
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NPI Number | 1447532270
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Entity Type | Organization
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Legal Business Name | MASONS AND DAUGHTER LLC
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Dates
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Enumeration Date | 09/19/2011
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 7 NORTH TUXEDO AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37411
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Country | US
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Telephone | 423-531-4103
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Fax | 423-468-4676
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Provider Business Mailing Address
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Address Line | 7 NORTH TUXEDO AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37411
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Country | US
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Telephone | 423-531-4103
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Fax | 423-468-4676
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. GERALD A MASON SR.
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Credential |
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Telephone | 423-704-8462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | IV5945A
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License Number State | TN
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