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NPI Code Detail

MEDICARE: SHAILEAH MASON

MEDICARE:   SHAILEAH  MASON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore Provider

General Provider Information

NPI Number : 1811851173
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAILEAH MASON
Provider Business Mailing Address
First Line : 2344 DUDLEY ST
Second Line :
City : LINCOLN
State : NE
Zip : 68503-1731
Country : US
Telephone Number : 531-215-4483
Fax Number :
Provider Business Practice Location Address
First Line : 13057 W CENTER RD
Second Line :
City : OMAHA
State : NE
Zip : 68144-3748
Country : US
Telephone Number : 531-500-9455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ SHAILEAH MASON ” Practice Location

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