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General NPI Number Information
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NPI Number | 1508114430
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Entity Type | Individual
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Provider Name | MARIE C. MASON PA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 46 FAIRVIEW AVE STE 223
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City | SKOWHEGAN
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State | ME
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Zip | 04976-1481
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Country | US
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Telephone | 207-474-7045
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Fax | 207-474-5173
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Provider Business Mailing Address
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Address Line | PO BOX 727
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City | WATERVILLE
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State | ME
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Zip | 04903-0727
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Country | US
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Telephone | 207-495-3323
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1588
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License Number State | ME
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