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General NPI Number Information
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NPI Number | 1295789782
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Entity Type | Organization
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Legal Business Name | EUGENE S MACKIE MD PA
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 2401 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-3475
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Country | US
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Telephone | 956-631-2957
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Fax | 956-631-1983
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Provider Business Mailing Address
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Address Line | 2401 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-3475
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Country | US
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Telephone | 956-631-2957
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Fax | 956-631-1983
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Authorized Official
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Title or Position | OWNER
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Name | DR. EUGENE SCOTT MACKIE
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Credential | MD
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Telephone | 956-631-2957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | F8559
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License Number State | TX
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