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Individual
MS. PAGE P MACK
Active
Individual
MS. PAGE P MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7948
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127UH
BCBS
NY
01
—
293166
MAMSI
NY
01
—
37937
MEDCOST
NC
05
—
7211867
—
NC
Enumeration date
08/08/2006
Last updated
05/13/2010
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