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General NPI Number Information
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NPI Number | 1457424095
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Entity Type | Individual
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Provider Name | MARGARET MCMAHON CNP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7575 GRAND RIVER RD SUITE 209
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City | BRIGHTON
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State | MI
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Zip | 48114-9309
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Country | US
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Telephone | 810-844-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 COMMONWEALTH BLVD SUITE 202
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City | ANN ARBOR
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State | MI
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Zip | 48105-1593
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 4704083274
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License Number State | MI
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