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General NPI Number Information
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NPI Number | 1043263379
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Entity Type | Individual
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Provider Name | GREGORY MCNAMARA D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 33 BARTLETT ST
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City | LOWELL
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State | MA
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Zip | 01852-1334
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Country | US
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Telephone | 978-452-7233
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Fax | 978-458-6430
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Provider Business Mailing Address
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Address Line | PO BOX 1807
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City | MERRIMACK
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State | NH
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Zip | 03054-1807
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Country | US
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Telephone | 603-673-9411
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Fax | 603-673-9899
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1639
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0151
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License Number State | NH
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