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General NPI Number Information
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NPI Number | 1790140895
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Entity Type | Individual
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Provider Name | ANGELA MASON DPT/OT
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Gender | Female
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 07/11/2021
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Provider Practice Location Address
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Address Line | 899 MARINA DEL RAY LN UNIT 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-8452
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Country | US
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Telephone | 706-589-4368
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Fax |
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Provider Business Mailing Address
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Address Line | 899 MARINA DEL RAY LN UNIT 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-8452
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Country | US
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Telephone | 706-589-4368
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-27995
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-4031
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-1268
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT14765
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License Number State | FL
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