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General NPI Number Information
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NPI Number | 1700669413
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Entity Type | Individual
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Provider Name | DAVID MACKEY DPT
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Gender | Male
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 5 ALVA PL
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City | BATAVIA
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State | NY
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Zip | 14020-2102
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Country | US
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Telephone | 585-343-9496
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Fax |
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Provider Business Mailing Address
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Address Line | 3 WEST AVE
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City | LE ROY
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State | NY
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Zip | 14482-1381
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Country | US
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Telephone | 585-397-6183
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Fax | 585-768-2335
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 050606
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License Number State | NY
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