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General NPI Number Information
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NPI Number | 1043482664
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Entity Type | Organization
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Legal Business Name | JEFFERY C. MCNEELY, D.P.M., P.A.
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 2126 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79412-2619
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Country | US
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Telephone | 806-744-1168
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Fax | 806-744-2368
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Provider Business Mailing Address
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Address Line | 2126 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79412-2619
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Country | US
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Telephone | 806-744-1168
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Fax | 806-744-2368
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Authorized Official
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Title or Position | DOCTOR OF PODITARIC MEDICINE
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Name | DR. JEFFERY CLAYTON MCNEELY
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Credential | D.P.M.
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Telephone | 806-744-1168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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