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General NPI Number Information
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NPI Number | 1164479184
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Entity Type | Organization
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Legal Business Name | MCLAIN MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 2229 CAHABA VALLEY DR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2602
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Country | US
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Telephone | 205-991-8996
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Fax | 205-997-8997
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Provider Business Mailing Address
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Address Line | 2229 CAHABA VALLEY DR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2602
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Country | US
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Telephone | 205-991-8996
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Fax | 205-997-8997
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DAVID A MCLAIN
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Credential | M.D.
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Telephone | 205-991-8996
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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 | 9639
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License Number State | AL
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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 | 4584
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License Number State | AL
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