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General NPI Number Information
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NPI Number | 1578123105
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Entity Type | Organization
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Legal Business Name | MCWHORTER EF ANESTHESIA, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 2501 GREEN VALLEY PKWY 112
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City | HENDERSON
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State | NV
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Zip | 89014
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Country | US
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Telephone | 702-487-6510
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Fax | 702-405-7960
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Provider Business Mailing Address
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Address Line | PO BOX 93358
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City | LAS VEGAS
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State | NV
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Zip | 89193-3358
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Country | US
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Telephone | 702-487-6510
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Fax | 702-405-7960
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Authorized Official
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Title or Position | PRESIDENT
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Name | YI MCWHORTER
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Credential | D.O.
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Telephone | 562-843-1024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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