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General NPI Number Information
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NPI Number | 1871170019
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Entity Type | Individual
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Provider Name | MICHAEL MCLAWHORN DO
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Gender | Male
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 580 WEST 8TH STREET TOWER II, 6TH FLOOR, SUITE 6005
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone | 904-383-1038
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 44008
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4008
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Country | US
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Telephone | 904-383-1038
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Fax | 904-244-4486
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS22160
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License Number State | FL
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