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General NPI Number Information
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NPI Number | 1356772560
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Entity Type | Organization
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Legal Business Name | JAMES MCKINNEY, D.O., P.A.
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 6633 E HWY 290 SUITE 101
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City | AUSTIN
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State | TX
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Zip | 78723-1172
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Country | US
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Telephone | 512-314-3834
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Fax | 512-314-7121
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Provider Business Mailing Address
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Address Line | PO BOX 938
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City | KILLEEN
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State | TX
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Zip | 76540-0938
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Country | US
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Telephone | 254-634-6999
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Fax | 254-200-4099
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Authorized Official
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Title or Position | PROVIDER
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Name | JAMES ALTONSMITH MCKINNEY
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Credential | D.O.
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Telephone | 254-245-9045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | N3174
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License Number State | TX
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