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General NPI Number Information
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NPI Number | 1902990435
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Entity Type | Individual
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Provider Name | ANDREA BERTRAM MCKEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | LAHEY CLINIC 41 MALL ROAD
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City | BURLINGTON
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State | MA
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Zip | 01805-0001
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Country | US
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Telephone | 603-663-1800
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Fax | 603-668-4303
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Provider Business Mailing Address
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Address Line | 5 MERRILL ST
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City | AMESBURY
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State | MA
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Zip | 01913-4306
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Country | US
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Telephone | 978-388-6618
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Fax | 978-388-5528
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 11200
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License Number State | NH
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