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General NPI Number Information
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NPI Number | 1053464115
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Entity Type | Individual
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Provider Name | DONALD JOSEPH MCMASTER PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7862 W MANSFIELD PKWY
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City | LAKEWOOD
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State | CO
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Zip | 80235-1934
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Country | US
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Telephone | 303-987-4546
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Fax |
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Provider Business Mailing Address
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Address Line | 14008 E IDAHO PL
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City | AURORA
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State | CO
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Zip | 80012-5577
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Country | US
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Telephone | 303-755-7433
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1159
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License Number State | CO
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