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General NPI Number Information
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NPI Number | 1174518930
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Entity Type | Individual
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Provider Name | JOHN ADAM MACPHAIL MD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 126 E CHURCH ST STE 2100
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City | SOMERSET
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State | PA
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Zip | 15501-2271
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Country | US
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Telephone | 814-445-1281
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Fax | 814-443-3214
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Provider Business Mailing Address
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Address Line | 329 S PLEASANT AVE
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City | SOMERSET
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State | PA
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Zip | 15501-2262
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Country | US
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Telephone | 814-445-3575
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Fax | 814-445-5700
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2009-02130
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD021853E
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License Number State | PA
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