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General NPI Number Information
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NPI Number | 1699638908
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Entity Type | Individual
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Provider Name | JESSIANN CHINWE MASON
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Gender | Female
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 5025 W PARK BLVD
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City | PLANO
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State | TX
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Zip | 75093-2584
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Country | US
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Telephone | 214-717-8714
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Fax |
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Provider Business Mailing Address
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Address Line | 5520 BAKER DR
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City | THE COLONY
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State | TX
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Zip | 75056-1935
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Country | US
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Telephone | 214-717-8714
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TX
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