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General NPI Number Information
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NPI Number | 1548416324
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Entity Type | Individual
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Provider Name | CHERYL MACKECHNIE MD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 8752 E VIA DE COMMERCIO SUITE 1
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3396
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Country | US
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Telephone | 480-684-1080
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Fax | 480-684-1081
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Provider Business Mailing Address
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Address Line | 9097 E DESERT COVE AVE SUITE 260
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6279
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Country | US
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Telephone | 480-684-1080
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Fax | 480-684-1081
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 46220
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License Number State | AZ
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