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General NPI Number Information
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NPI Number | 1649368093
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Entity Type | Individual
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Provider Name | JOHN E MCDONALD DO
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1762 WAGNER AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-2400
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Country | US
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Telephone | 231-777-2625
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Fax | 231-773-8560
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Provider Business Mailing Address
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Address Line | 1762 WAGNER AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-2400
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Country | US
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Telephone | 231-777-2625
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Fax | 231-773-8560
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | MI
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