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General NPI Number Information
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NPI Number | 1255784393
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Entity Type | Organization
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Legal Business Name | KMZ MEDICAL SOLUTIONS, PLLC
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 800 W. ST. STE 102-C
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City | EDMOND
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State | OK
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Zip | 73013-7920
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Country | US
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Telephone | 405-210-2202
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Fax | 405-216-5724
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Provider Business Mailing Address
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Address Line | 800 W 18TH ST STE 100
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City | EDMOND
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State | OK
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Zip | 73013-3758
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Country | US
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Telephone | 405-726-2727
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Fax | 405-216-5724
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Authorized Official
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Title or Position | FAMILY MEDICINE
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Name | DR. MICHAEL ZANN MCMAHAN
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Credential | MD
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Telephone | 405-726-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | OK24591
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License Number State | OK
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