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General NPI Number Information
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NPI Number | 1528017977
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Entity Type | Individual
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Provider Name | VERONICA V MASON FNP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 2131 SAWYER DR STE 6
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-2979
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Country | US
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Telephone | 716-216-4424
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Fax | 716-216-4426
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Provider Business Mailing Address
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Address Line | 2131 SAWYER DR STE 6
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-2979
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Country | US
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Telephone | 716-216-4424
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Fax | 716-216-4426
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 455196
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 333243
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License Number State | NY
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