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General NPI Number Information
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NPI Number | 1831114339
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Entity Type | Individual
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Provider Name | JAMES ELTON MCKAY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3205 S RUSSELL ST
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City | MISSOULA
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State | MT
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Zip | 59801-8536
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Country | US
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Telephone | 406-721-4906
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 PATTEE CANYON RD
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City | MISSOULA
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State | MT
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Zip | 59803-1612
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Country | US
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Telephone | 406-829-1475
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 8607
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License Number State | MT
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