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General NPI Number Information
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NPI Number | 1841674405
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Entity Type | Individual
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Provider Name | DAVID MCMEEKIN PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3075 N RESERVE ST STE Q
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City | MISSOULA
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State | MT
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Zip | 59808-1390
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Country | US
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Telephone | 406-327-1750
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Fax | 406-327-1960
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Provider Business Mailing Address
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Address Line | 500 W BROADWAY ST
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City | MISSOULA
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State | MT
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Zip | 59802-4008
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Country | US
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Telephone | 406-327-1918
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Fax | 406-549-2246
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-1264
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MED-PAC-LIC-59289
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License Number State | MT
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