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General NPI Number Information
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NPI Number | 1013017532
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Entity Type | Individual
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Provider Name | CECILE MCKAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 200 SULLIVAN WAY
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City | WEST TRENTON
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State | NJ
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Zip | 08625-2306
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Country | US
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Telephone | 609-633-1502
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SULLIVAN WAY
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City | WEST TRENTON
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State | NJ
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Zip | 08862-0500
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Country | US
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Telephone | 609-633-1502
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA05223000
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License Number State | NJ
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