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General NPI Number Information
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NPI Number | 1639124670
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Entity Type | Individual
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Provider Name | NANCY MARIE MASON N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2200 WOODWARD HTS
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City | FERNDALE
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State | MI
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Zip | 48220-3007
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Country | US
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Telephone | 248-543-4138
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Fax | 248-543-4252
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Provider Business Mailing Address
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Address Line | 43800 GARFIELD RD SUITE 201
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1136
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Country | US
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Telephone | 586-228-4652
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Fax | 586-228-4520
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 4704149798
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number | 4704149798
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License Number State | MI
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