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General NPI Number Information
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NPI Number | 1114079639
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Entity Type | Organization
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Legal Business Name | THOMAS O. MCMEEKIN, M.D., P.C.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 300 WHITE SPRUCE BLVD
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City | ROCHESTER
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State | NY
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Zip | 14623-1606
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Country | US
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Telephone | 585-424-6770
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Fax | 585-424-6776
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Provider Business Mailing Address
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Address Line | 300 WHITE SPRUCE BLVD
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City | ROCHESTER
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State | NY
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Zip | 14623-1606
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Country | US
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Telephone | 585-424-6770
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Fax | 585-424-6776
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. HEATHER MCKENZIE
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Credential |
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Telephone | 585-424-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 120151-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 230724
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 33554
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 197921-1
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License Number State | NY
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