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General NPI Number Information
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NPI Number | 1407062904
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Entity Type | Individual
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Provider Name | CARRIE E. MCMAHON O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 115 N SANDUSKY ST
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City | DELAWARE
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State | OH
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Zip | 43015-1732
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Country | US
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Telephone | 740-513-4750
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Fax | 740-513-4760
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Provider Business Mailing Address
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Address Line | 115 N SANDUSKY ST
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City | DELAWARE
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State | OH
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Zip | 43015-1732
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Country | US
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Telephone | 740-513-4750
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Fax | 740-513-4760
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5224
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License Number State | OH
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