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General NPI Number Information
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NPI Number | 1790341949
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Entity Type | Organization
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Legal Business Name | MICHAEL MCPHERSON, M.D. P.A.
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 5406 COLGATE ST
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City | LUBBOCK
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State | TX
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Zip | 79416
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Country | US
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Telephone | 806-507-3500
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Fax | 806-507-3895
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Provider Business Mailing Address
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Address Line | 10507 QUAKER AVE UNIT 101
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City | LUBBOCK
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State | TX
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Zip | 79424-8441
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Country | US
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Telephone | 806-368-8311
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Fax | 806-368-8312
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL G. MCPHERSON
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Credential | MD
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Telephone | 806-441-2348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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