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General NPI Number Information
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NPI Number | 1609812296
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Entity Type | Individual
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Provider Name | JEFFREY A MCKENNA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2081 W FRYE RD STE 100
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City | CHANDLER
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State | AZ
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Zip | 85224-6278
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Country | US
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Telephone | 480-753-1459
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Fax | 480-753-5311
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Provider Business Mailing Address
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Address Line | 9097 E DESERT COVE AVE STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6280
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Country | US
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Telephone | 480-061-4540
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Fax | 480-753-5311
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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 | 20965
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License Number State | AZ
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