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General NPI Number Information
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NPI Number | 1508669672
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Entity Type | Organization
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Legal Business Name | MASON FOUNDATION LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 100 E LIBERTY ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1434
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Country | US
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Telephone | 502-629-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 4141 W MUHAMMAD ALI BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40212-2437
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Country | US
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Telephone | 502-299-2362
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Fax |
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Authorized Official
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Title or Position | HEMATOLOGIST
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Name | DR. RODNEY E KOSFELD
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Credential | MD
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Telephone | 502-629-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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