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General NPI Number Information
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NPI Number | 1952805210
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Entity Type | Individual
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Provider Name | ALISA MCMAHON OD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 7014 E CAMELBACK RD STE 5000
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-1210
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Country | US
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Telephone | 480-990-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 7454 E CAMINO RAYO DE LUZ
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-4295
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Country | US
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Telephone | 480-488-0288
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 925
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License Number State | AZ
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