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General NPI Number Information
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NPI Number | 1689189938
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Entity Type | Individual
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Provider Name | MATTHEW JOSEPH MCMAHON DPT
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Gender | Male
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 12/10/2018
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Provider Practice Location Address
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Address Line | 118 NATURE PARK RD
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City | GREENSBURG
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State | PA
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Zip | 15601-7932
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Country | US
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Telephone | 724-689-0571
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Fax | 724-689-0560
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Provider Business Mailing Address
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Address Line | 4 ALLEGHENY CTR
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City | PITTSBURGH
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State | PA
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Zip | 15212-5255
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Country | US
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Telephone | 412-330-5961
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Fax | 412-330-5844
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT026333
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License Number State | PA
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