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General NPI Number Information
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NPI Number | 1609785534
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Entity Type | Organization
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Legal Business Name | MCMAHON MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 403 N ORCHARD AVE
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City | CANON CITY
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State | CO
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Zip | 81212-2540
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Country | US
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Telephone | 719-409-7014
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Fax | 719-966-8672
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Provider Business Mailing Address
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Address Line | PO BOX 183
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City | CANON CITY
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State | CO
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Zip | 81215-0183
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Country | US
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Telephone | 719-409-7014
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Fax | 719-966-8672
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Authorized Official
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Title or Position | OWNER
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Name | ERIN M MCMAHON
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Credential | NP
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Telephone | 719-409-7014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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