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General NPI Number Information
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NPI Number | 1366617391
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Entity Type | Organization
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Legal Business Name | RAYMOND J MCGEEHAN D C P A
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 11640 ZIMMERMAN RD
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City | PORT RICHEY
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State | FL
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Zip | 34668-1560
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Country | US
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Telephone | 727-863-3991
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Fax | 727-862-6106
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Provider Business Mailing Address
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Address Line | PO BOX 2465
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City | LAND O LAKES
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State | FL
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Zip | 34639-2465
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Country | US
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Telephone | 727-863-3991
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Fax | 727-862-6106
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAYMOND J MCGEEHAN
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Credential | D.C.
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Telephone | 727-863-3991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0001620
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License Number State | FL
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