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General NPI Number Information
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NPI Number | 1588646798
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Entity Type | Individual
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Provider Name | JAMES FREDRICK MASON DDS
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 337 BUCKWALTER PLACE BLVD
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City | BLUFFTON
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State | SC
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Zip | 29910
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Country | US
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Telephone | 843-815-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 337 BUCKWALTER PLACE BLVD
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City | BLUFFTON
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State | SC
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Zip | 29910-5175
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Country | US
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Telephone | 843-815-6000
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 9008
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License Number State | SC
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