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General NPI Number Information
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NPI Number | 1801047055
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Entity Type | Organization
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Legal Business Name | NORMAN G. MCKOY MD & ASSOCIATES PA
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 10274 LAKE ARBOR WAY SUITE 202
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-3146
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Country | US
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Telephone | 301-336-9065
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Fax | 301-336-6909
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Provider Business Mailing Address
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Address Line | 10274 LAKE ARBOR WAY SUITE 202
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-3146
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Country | US
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Telephone | 301-336-9065
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Fax | 301-336-6909
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. NORMAN G. MCKOY
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Credential | M.D.
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Telephone | 301-336-9065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D35947
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License Number State | MD
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