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General NPI Number Information
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NPI Number | 1639203292
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Entity Type | Individual
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Provider Name | ELIZABETH MASON PH.D., NCSP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 117 CIRCLE VUE DR
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City | CARMICHAELS
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State | PA
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Zip | 15320-1105
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Country | US
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Telephone | 724-966-9291
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Fax | 724-966-9291
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Provider Business Mailing Address
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Address Line | 117 CIRCLE VUE DR
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City | CARMICHAELS
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State | PA
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Zip | 15320-1105
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Country | US
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Telephone | 724-966-9291
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Fax | 724-966-9291
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | #PS 006147
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License Number State | PA
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