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General NPI Number Information
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NPI Number | 1992834345
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Entity Type | Individual
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Provider Name | THOMAS HARDY MASSING PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 700 S PARK ST
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City | MADISON
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State | WI
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Zip | 53715-1830
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Country | US
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Telephone | 608-251-6100
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Fax | 608-260-2976
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Provider Business Mailing Address
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Address Line | 17 WINDRUSH DR NW
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City | ROME
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State | GA
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Zip | 30165-4501
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Country | US
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Telephone | 815-624-0415
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Fax | 240-218-4523
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2103-023
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 2103-023
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA22229
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MA055679
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA-3387
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | N008330
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 110001383
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA1898
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 002188
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License Number State | GA
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Taxonomy #10
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 085-002212
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License Number State | IL
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Taxonomy #11
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 16833-1
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License Number State | NY
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Taxonomy #12
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2103-23
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License Number State | WI
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