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General NPI Number Information
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NPI Number | 1780953869
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Entity Type | Organization
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Legal Business Name | DOUGLAS L. MCPHERSON M.D.
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 1211 8TH ST SUITE C
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5808
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Country | US
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Telephone | 575-551-5111
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Fax | 575-551-5112
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Provider Business Mailing Address
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Address Line | 1211 8TH ST SUITE C
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5808
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Country | US
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Telephone | 575-551-5111
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Fax | 575-551-5112
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. DOUGLAS LYNN MCPHERSON
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Credential | M.D.
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Telephone | 575-551-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 90249
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License Number State | NM
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