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Individual
AMY MACK
Active
Individual
AMY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1027891
MA
207Q00000X
Family Medicine Physician
Primary
EC231036
ME
207Q00000X
Family Medicine Physician
MD27010
ME
Other
Enumeration date
05/02/2023
Last updated
07/22/2026
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