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General NPI Number Information
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NPI Number | 1699986604
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Entity Type | Organization
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Legal Business Name | CRAIG L. MCDONALD MDPA
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 2327 E MULBERRY SUITE C
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City | ANGLETON
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State | TX
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Zip | 77515-3836
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Country | US
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Telephone | 979-849-9557
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Fax | 979-849-0789
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Provider Business Mailing Address
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Address Line | 2327 E MULBERRY SUITE C
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City | ANGLETON
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State | TX
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Zip | 77515-3836
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Country | US
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Telephone | 979-849-9557
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Fax | 979-849-0879
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. CAROL GARNER
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Credential |
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Telephone | 979-849-9557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | H4839
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License Number State | TX
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