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General NPI Number Information
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NPI Number | 1477550473
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Entity Type | Individual
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Provider Name | DENNIS MICHAEL MAHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1032 COLLEGE ST
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City | OXFORD
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State | NC
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Zip | 27565-2507
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Country | US
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Telephone | 919-693-6541
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Fax | 919-693-7396
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Provider Business Mailing Address
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Address Line | PO BOX 986
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City | OXFORD
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State | NC
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Zip | 27565-0986
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Country | US
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Telephone | 919-690-3487
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Fax | 919-690-3246
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 25053
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25053
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License Number State | NC
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