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General NPI Number Information
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NPI Number | 1669455796
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Entity Type | Individual
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Provider Name | MICHAEL A MCMAHON MD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 12/06/2008
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Provider Practice Location Address
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Address Line | 2829 VIRGINIA AVE
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City | NARROWS
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State | VA
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Zip | 24124-2369
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Country | US
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Telephone | 540-726-7900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 355
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City | PEARISBURG
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State | VA
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Zip | 24134-0355
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101-027814
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License Number State | VA
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