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General NPI Number Information
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NPI Number | 1326235979
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Entity Type | Organization
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Legal Business Name | MCKEE & MCKEE, P C
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 6224 MAIN ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-1900
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Country | US
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Telephone | 630-963-1458
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Fax | 630-963-5510
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Provider Business Mailing Address
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Address Line | 6224 MAIN ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-1900
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Country | US
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Telephone | 630-963-1458
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Fax | 630-963-5510
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES ROBERT MCKEE
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Credential | DDS
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Telephone | 630-963-1458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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