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NPI 1871651109

NPI 1871651109 : LINDA J MASON NP : NEWBURGH, NY

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General NPI Number Information
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    NPI Number           |    1871651109
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA J MASON NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/06/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    1607 ROUTE 300 STE 102 
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    City                 |    NEWBURGH
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    State                |    NY
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    Zip                  |    12550-1738
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    Country              |    US
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    Telephone            |    914-941-0444
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    Fax                  |    914-941-1199
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8825 
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    City                 |    SCARBOROUGH
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    State                |    NY
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    Zip                  |    10510-8825
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    Country              |    US
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    Telephone            |    914-941-0444
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    Fax                  |    914-941-1199
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    F400772-1
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    License Number State |    NY
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