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General NPI Number Information
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NPI Number | 1780688358
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Entity Type | Individual
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Provider Name | AMY J MASON M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 150 HIGHLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14620-3024
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Country | US
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Telephone | 585-271-1680
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Fax |
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Provider Business Mailing Address
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Address Line | 150 HIGHLAND AVE ST. JOHN'S HOME
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City | ROCHESTER
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State | NY
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Zip | 14620-3024
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Country | US
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Telephone | 585-271-1680
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Fax | 585-271-0002
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 158118-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 158118
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License Number State | NY
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