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General NPI Number Information
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NPI Number | 1548218555
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Entity Type | Individual
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Provider Name | DEAN WM MCKENZIE MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 13395 N MARANA MAIN ST
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City | MARANA
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State | AZ
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Zip | 85653-7008
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Country | US
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Telephone | 520-682-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 839 W CONGRESS ST
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City | TUCSON
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State | AZ
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Zip | 85745-2819
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Country | US
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Telephone | 520-670-3909
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Fax | 520-309-2560
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 37977
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 042.0012187
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 042.0012187
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License Number State | VT
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