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General NPI Number Information
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NPI Number | 1487681169
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Entity Type | Individual
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Provider Name | JAMES COLEY MCKAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 319 HOSPITAL DR STE. 104
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City | MARTINSVILLE
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State | VA
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Zip | 24112-1929
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Country | US
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Telephone | 276-638-1983
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Fax | 276-638-3736
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Provider Business Mailing Address
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Address Line | 955 LAUREL WOOD DR
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City | EDEN
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State | NC
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Zip | 27288-5354
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Country | US
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Telephone | 336-627-4702
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Fax | 336-627-1735
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 32144
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 0101044604
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.07559R
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License Number State | LA
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