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General NPI Number Information
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NPI Number | 1003965104
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Entity Type | Individual
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Provider Name | MICHAEL RICHARD MCGEE EDD, LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 625 7TH AVE NE MCCRORIE SUITE 100, OFFICE D
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City | HICKORY
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State | NC
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Zip | 28601-3984
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Country | US
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Telephone | 828-328-7127
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Fax | 828-267-3445
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Provider Business Mailing Address
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Address Line | 4886 NORTHCREST ST
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City | CLAREMONT
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State | NC
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Zip | 28610-9452
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Country | US
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Telephone | 828-612-9843
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0191
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License Number State | NC
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