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General NPI Number Information
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NPI Number | 1265417331
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Entity Type | Individual
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Provider Name | WILLIAM LEWIS MCKAY DO
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 108 S HICKORY ST
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City | MOUNT VERNON
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State | MO
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Zip | 65712-1407
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Country | US
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Telephone | 417-466-4110
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Fax | 417-466-4255
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Provider Business Mailing Address
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Address Line | 108 S HICKORY ST
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City | MOUNT VERNON
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State | MO
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Zip | 65712-1407
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Country | US
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Telephone | 417-466-4110
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Fax | 417-466-4255
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R5G53
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License Number State | MO
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