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General NPI Number Information
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NPI Number | 1124200878
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Entity Type | Organization
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Legal Business Name | MARY K MCGEE, MD
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 705 E MARSHALL AVE SUITE 3001
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City | LONGVIEW
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State | TX
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Zip | 75601-5573
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Country | US
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Telephone | 903-758-0295
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Fax |
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Provider Business Mailing Address
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Address Line | 705 E MARSHALL SUITE 3001
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City | LONGVIEW
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State | TX
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Zip | 75601-5601
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Country | US
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Telephone | 903-758-0295
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY K MCGEE
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Credential | MD
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Telephone | 903-758-0295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | G9915
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License Number State | TX
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