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General NPI Number Information
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NPI Number | 1639126741
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Entity Type | Individual
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Provider Name | JOHN MARTIN MCMAHON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 3719 DAUPHIN ST
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City | MOBILE
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State | AL
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Zip | 36608-1753
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Country | US
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Telephone | 251-460-5333
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Fax | 251-460-5295
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Provider Business Mailing Address
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Address Line | PO BOX 2847 DEPT 1060
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City | MOBILE
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State | AL
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Zip | 36652-2847
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Country | US
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Telephone | 562-809-3530
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Fax | 562-924-5830
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 13833
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License Number State | AL
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