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General NPI Number Information
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NPI Number | 1326333576
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Entity Type | Organization
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Legal Business Name | MCMAHON &SALES ASSOCIATES, LLC.
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4139 W WALTON BLVD SUITE C-2
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City | WATERFORD
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State | MI
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Zip | 48329-4188
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Country | US
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Telephone | 248-496-0888
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Fax | 248-630-8906
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Provider Business Mailing Address
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Address Line | 4139 W. WALTON BLVD SUITE C-2
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City | WATERFORD
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State | MI
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Zip | 48329-4188
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Country | US
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Telephone | 248-496-0888
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Fax | 248-630-8906
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN THOMAS MCMAHON III
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Credential |
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Telephone | 248-496-0888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MI
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