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General NPI Number Information
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NPI Number | 1679533624
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Entity Type | Individual
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Provider Name | ERROL S MCKENZIE MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 212 HIGHBRIDGE ST STE C
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1981
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Country | US
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Telephone | 315-637-0477
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Fax | 315-637-0559
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Provider Business Mailing Address
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Address Line | 212 HIGHBRIDGE ST STE C
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1981
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Country | US
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Telephone | 315-637-0477
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Fax | 315-637-0559
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N004780
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 222899
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License Number State | NY
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