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Contact Information

MARK L MASON OD., LLC
907 SCHNEIDER ST SE
NORTH CANTON, OH44720-3774
 Phone: 330-499-1494
 Fax: 330-499-3744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for MARK L MASON OD., LLC

NPI # 1508263120
LBN Legal business name MARK L MASON OD., LLC
Authorized official KIM WAHL - (CLERICAL)
Entity Organization
Organization subpart 1 No
Enumeration date 11/25/2014
Last updated 11/25/2014 - About 12 years ago
Identifiers
OH License # 4574
OH Medicaid 0997917
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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