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General NPI Number Information
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NPI Number | 1659497246
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Entity Type | Individual
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Provider Name | JOHN WILLIAM MCATEE PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6656 DOBBIN RD
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City | COLUMBIA
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State | MD
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Zip | 21045-5841
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Country | US
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Telephone | 410-381-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 4986 DORSEY HALL DR B-4
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-7772
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Country | US
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Telephone | 410-979-3829
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0002985
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License Number State | MD
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