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General NPI Number Information
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NPI Number | 1861159782
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Entity Type | Individual
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Provider Name | DAVID EUGENE MCNAIR NP
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Gender | Male
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Dates
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Enumeration Date | 11/27/2021
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Last Update Date | 11/27/2021
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Provider Practice Location Address
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Address Line | 7500 TOWN CENTRE DR STE 300
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-4048
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Country | US
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Telephone | 440-665-1723
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Fax |
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Provider Business Mailing Address
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Address Line | 7832 BENTON LN
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City | HUDSON
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State | OH
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Zip | 44236-1395
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Country | US
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Telephone | 330-815-1011
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0030322
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License Number State | OH
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