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General NPI Number Information
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NPI Number | 1962081802
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Entity Type | Individual
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Provider Name | MARK A MCKEE RPH
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Gender | Male
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 5783 W ERIE ST
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City | CHANDLER
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State | AZ
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Zip | 85226-2749
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Country | US
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Telephone | 480-365-0222
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Fax | 844-297-7327
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Provider Business Mailing Address
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Address Line | 295 N RURAL RD UNIT 152
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City | CHANDLER
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State | AZ
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Zip | 85226-6906
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Country | US
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Telephone | 480-677-9456
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S012049
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License Number State | AZ
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