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General NPI Number Information
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NPI Number | 1689090318
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Entity Type | Individual
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Provider Name | TAYLOR MASON MS
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Gender | Female
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 497 MAIN ST SUITE E
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City | GROTON
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State | MA
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Zip | 01450-1298
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Country | US
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Telephone | 978-448-4001
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HELENA DR
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City | TYNGSBORO
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State | MA
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Zip | 01879-1065
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Country | US
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Telephone | 978-877-7541
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 10714
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 10714
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License Number State | MA
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