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General NPI Number Information
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NPI Number | 1508779810
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Entity Type | Individual
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Provider Name | TRACY LYNN MASON CSFA
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Gender | Female
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Dates
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Enumeration Date | 09/26/2026
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Last Update Date | 09/26/2026
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Provider Practice Location Address
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Address Line | 1489 BEARCAT CV
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City | AUBURN
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State | PA
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Zip | 17922-9260
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Country | US
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Telephone | 843-476-7417
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Fax |
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Provider Business Mailing Address
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Address Line | 1489 BEARCAT CV
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City | AUBURN
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State | PA
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Zip | 17922-9260
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Country | US
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Telephone | 843-476-7417
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 176521
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License Number State |
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