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General NPI Number Information
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NPI Number | 1427200013
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Entity Type | Individual
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Provider Name | JOHN ALLEN MCFATE MD
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Gender | Male
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3350 EXECUTIVE DR
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City | SAN ANGELO
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State | TX
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Zip | 76904-6878
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Country | US
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Telephone | 325-747-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 EXECUTIVE DR
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City | SAN ANGELO
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State | TX
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Zip | 76904-6878
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Country | US
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Telephone | 325-747-2880
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | P8387
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TMBPIT#BP10032773
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License Number State | TX
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