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General NPI Number Information
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NPI Number | 1407146137
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Entity Type | Organization
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Legal Business Name | DONALD MACKENZIE,MD,P.A.
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 3700 W 15TH ST SUITE 100C
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City | PLANO
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State | TX
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Zip | 75075-4736
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Country | US
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Telephone | 972-867-3121
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Fax | 972-867-0564
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Provider Business Mailing Address
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Address Line | 3700 W 15TH ST SUITE 100C
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City | PLANO
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State | TX
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Zip | 75075-4736
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Country | US
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Telephone | 972-867-3121
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Fax | 972-867-0564
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DONALD MACKENZIE
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Credential | MD
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Telephone | 972-867-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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