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General NPI Number Information
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NPI Number | 1104800283
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Entity Type | Individual
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Provider Name | JOHN THOMAS MCADORY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 11211 SW 152ND ST STE 100
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City | MIAMI
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State | FL
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Zip | 33157-1101
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Country | US
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Telephone | 305-255-1355
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Fax | 305-255-2015
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Provider Business Mailing Address
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Address Line | 8401 SW 114TH ST
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City | MIAMI
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State | FL
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Zip | 33156-4330
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Country | US
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Telephone | 305-235-5367
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Fax | 305-253-8889
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 23179
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License Number State | FL
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