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General NPI Number Information
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NPI Number | 1427726587
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Entity Type | Organization
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Legal Business Name | MCDAVID M. MAHAFFEY, M.D., P.A.
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 805 N MAIN ST
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City | CLEBURNE
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State | TX
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Zip | 76033-3816
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Country | US
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Telephone | 817-202-3978
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Fax | 817-202-3978
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Provider Business Mailing Address
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Address Line | 805 N MAIN ST
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City | CLEBURNE
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State | TX
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Zip | 76033-3816
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Country | US
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Telephone | 817-202-3976
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Fax | 817-202-3978
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Authorized Official
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Title or Position | OWNER/STAFF PROVIDER
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Name | MCDAVID M MAHAFFEY
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Credential | M.D.
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Telephone | 817-933-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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