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General NPI Number Information
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NPI Number | 1659089811
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Entity Type | Individual
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Provider Name | WILLIAM J MAST FNP-C
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Gender | Male
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3900 JOE RAMSEY BLVD E STE 6
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City | GREENVILLE
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State | TX
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Zip | 75401-7705
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Country | US
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Telephone | 903-455-1100
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Fax | 903-455-1114
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Provider Business Mailing Address
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Address Line | 1790 N STONEBRIDGE DR
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City | MCKINNEY
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State | TX
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Zip | 75071-7437
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Country | US
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Telephone | 972-390-9002
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Fax | 972-984-7988
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1098502
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License Number State | TX
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