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General NPI Number Information
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NPI Number | 1639494461
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH MCKAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 6770 LIBERTY ROAD N
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City | POWELL
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State | OH
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Zip | 43065-8202
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Country | US
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Telephone | 740-881-4502
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Fax | 800-231-1844
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Provider Business Mailing Address
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Address Line | 6770 LIBERTY ROAD N
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City | POWELL
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State | OH
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Zip | 43065-8202
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Country | US
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Telephone | 740-881-4502
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Fax | 800-231-1844
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 35. 045923
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35. 045923
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License Number State | OH
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