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General NPI Number Information
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NPI Number | 1699756452
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Entity Type | Organization
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Legal Business Name | NORTHEAST TEXAS WOMENS HEALTH P A
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 2015 MULBERRY AVE SUITE 250
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2312
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Country | US
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Telephone | 903-572-4664
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Fax | 903-572-4647
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Provider Business Mailing Address
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Address Line | 2015 MULBERRY AVE SUITE 250
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2312
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Country | US
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Telephone | 903-572-4664
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Fax | 903-572-4647
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. CHRISTOPHER N MASON
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Credential | MD
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Telephone | 903-572-4664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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