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General NPI Number Information
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NPI Number | 1750409884
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Entity Type | Organization
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Legal Business Name | MCKINNEY PODIATRIC ASSOCIATES PA
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 8633 BROADWAY ST STE 117
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City | PEARLAND
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State | TX
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Zip | 77584-8497
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Country | US
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Telephone | 281-485-2988
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Fax | 281-485-2985
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Provider Business Mailing Address
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Address Line | 4102 WOODLAWN AVE STE 140
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City | PASADENA
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State | TX
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Zip | 77504-1948
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Country | US
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Telephone | 713-946-1500
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Fax | 713-946-0200
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT MCKINNEY
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Credential | DPM
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Telephone | 713-946-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | L2281
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1172
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1444
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1645
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1832
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1103
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License Number State | TX
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