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General NPI Number Information
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NPI Number | 1922199264
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Entity Type | Individual
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Provider Name | MAUREEN C. MCMAHON MD
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | NEMOURS PEDIATRICS LANKENAU 100 E. LANCASTER AVE. SUITE 436
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-645-6333
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Fax | 610-645-6064
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Provider Business Mailing Address
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Address Line | NEMOURS CHILDRENS CLINIC P.O. BOX 404112
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City | ATLANTA
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State | GA
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Zip | 30384-0001
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Country | US
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Telephone | 904-390-3610
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Fax | 904-288-5890
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD062455L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD062455L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD062455L
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License Number State | PA
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