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General NPI Number Information
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NPI Number | 1225332117
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Entity Type | Organization
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Legal Business Name | ANNA T MCNAY MD INC
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 5933 CORONADO LN STE 200
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City | PLEASANTON
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State | CA
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Zip | 94588-8597
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Country | US
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Telephone | 925-353-1735
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Fax |
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Provider Business Mailing Address
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Address Line | 5933 CORONADO LN STE 200
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City | PLEASANTON
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State | CA
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Zip | 94588-8597
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Country | US
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Telephone | 925-353-1735
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNA TONG MCNAY
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Credential | M.D.
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Telephone | 510-396-1067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G079803
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License Number State | CA
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