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General NPI Number Information
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NPI Number | 1932470457
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Entity Type | Individual
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Provider Name | SARAH MAE MASON
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Gender | Female
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 7300 WOODSPOINT DR
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City | FLORENCE
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State | KY
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Zip | 41042-1543
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Country | US
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Telephone | 859-371-3901
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Fax |
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Provider Business Mailing Address
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Address Line | 9774 WHISPERING WAY
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City | ALEXANDRIA
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State | KY
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Zip | 41001-9191
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | A4639
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License Number State | KY
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