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General NPI Number Information
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NPI Number | 1861470007
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Entity Type | Individual
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Provider Name | PATRICIA ANN MAHONEY MD
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Gender | Female
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 3023 PERRYTON PKWY STE 101
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City | PAMPA
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State | TX
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Zip | 79065-2817
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Country | US
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Telephone | 806-665-0801
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Fax | 806-665-8503
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Provider Business Mailing Address
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Address Line | 3023 PERRYTON PKWY STE 101
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City | PAMPA
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State | TX
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Zip | 79065-2817
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Country | US
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Telephone | 806-665-0801
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Fax | 806-665-8503
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.126066
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 103202
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L2439
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 90139
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License Number State | GA
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