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General NPI Number Information
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NPI Number | 1952396780
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Entity Type | Individual
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Provider Name | BRIAN A MASON MD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 05/12/2009
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Provider Practice Location Address
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Address Line | 22151 MOROSS RD 313
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City | DETROIT
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State | MI
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Zip | 48236-2167
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Country | US
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Telephone | 313-343-3494
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Fax | 313-343-4932
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Provider Business Mailing Address
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Address Line | 43800 GARFIELD RD
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City | CLINTON TWP
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State | MI
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Zip | 48038-1136
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Country | US
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Telephone | 313-343-7374
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Fax | 313-343-7072
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 4301061136
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License Number State | MI
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