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General NPI Number Information
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NPI Number | 1720541493
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Entity Type | Organization
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Legal Business Name | NORTH MASON RESOURCES
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 140 STATE HIGHWAY 300
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City | BELFAIR
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State | WA
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Zip | 98528-9852
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Country | US
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Telephone | 360-552-2303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2052
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City | BELFAIR
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State | WA
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Zip | 98528-2052
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Country | US
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Telephone | 360-552-2303
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Fax |
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Authorized Official
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Title or Position | EXEC. DIRECTOR
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Name | STEVE ABELS
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Credential |
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Telephone | 360-552-2303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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