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General NPI Number Information
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NPI Number | 1306888417
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Entity Type | Individual
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Provider Name | THEODORE B MCKEE D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 111 FAIRWAY LN STE 100
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City | STAUNTON
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State | VA
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Zip | 24401-3576
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Country | US
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Telephone | 540-885-8891
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Fax | 540-885-0016
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Provider Business Mailing Address
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Address Line | 504 VICTORIA DR
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City | STAUNTON
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State | VA
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Zip | 24401-2147
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Country | US
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Telephone | 540-887-9815
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Fax |
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103300877
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License Number State | VA
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