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General NPI Number Information
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NPI Number | 1891058509
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Entity Type | Individual
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Provider Name | MEREDITH CHRISTINA MASON M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 69 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3033
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Country | US
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Telephone | 505-379-2940
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Fax |
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Provider Business Mailing Address
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Address Line | 459 PARK AVE SE
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City | ATLANTA
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State | GA
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Zip | 30312-3451
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Country | US
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Telephone | 505-379-2940
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | BP10043015
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 89675
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License Number State | GA
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