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General NPI Number Information
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NPI Number | 1780901454
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Entity Type | Organization
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Legal Business Name | MCMAHAN NURSING, LLC
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Dates
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Enumeration Date | 04/21/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 2207 TIMBER RIDGE CT
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City | PARLIN
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State | NJ
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Zip | 08859-3133
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Country | US
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Telephone | 732-421-6561
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Fax | 732-727-1788
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Provider Business Mailing Address
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Address Line | 2207 TIMBER RIDGE CT
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City | PARLIN
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State | NJ
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Zip | 08859-3133
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Country | US
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Telephone | 732-421-6561
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Fax | 732-727-1788
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Authorized Official
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Title or Position | CEO
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Name | MS. SHONA MCMAHAN
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Credential | RN
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Telephone | 732-421-6561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health
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License Number | 26NO10699700
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License Number State | NJ
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