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General NPI Number Information
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NPI Number | 1992497531
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Entity Type | Individual
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Provider Name | TERESA MASON LEE APRN- FNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 3604 GALLEY RD STE 201
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-4301
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Country | US
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Telephone | 719-638-4548
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Fax | 719-638-4571
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Provider Business Mailing Address
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Address Line | 3604 GALLEY RD STE 201
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-4301
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Country | US
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Telephone | 410-200-8922
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0102755
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 27946
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 250368
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License Number State | SC
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