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NPI Code Detail

MEDICARE: DR. DANIEL DAVID MACPHAIL ED.D.

MEDICARE: DR. DANIEL DAVID MACPHAIL ED.D.
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
1103T00000XPsychologist4328MA

General Provider Information

NPI Number : 1689737876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL DAVID MACPHAIL ED.D.
Provider Business Mailing Address
First Line : 145 ROBINSON RD
Second Line :
City : BOXBOROUGH
State : MA
Zip : 01719-1822
Country : US
Telephone Number : 978-266-2809
Fax Number : 978-266-2809
Provider Business Practice Location Address
First Line : 145 ROBINSON RD
Second Line :
City : BOXBOROUGH
State : MA
Zip : 01719-1822
Country : US
Telephone Number : 978-266-2809
Fax Number : 978-266-2809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/08/2007

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