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General NPI Number Information
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NPI Number | 1396159851
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Entity Type | Individual
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Provider Name | JOSEPH MCMORDIE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 251 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-908-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 982035 NEBRASKA MEDICAL CTR
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City | OMAHA
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State | NE
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Zip | 68198-2035
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Country | US
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Telephone |
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | #7195
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | T4001
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License Number State | TX
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