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General NPI Number Information
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NPI Number | 1003122052
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Entity Type | Individual
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Provider Name | KATHLEEN D MCGUIRE DPT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 10475 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90024-4689
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Country | US
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Telephone | 424-401-0705
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Fax |
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Provider Business Mailing Address
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Address Line | 3219 OVERLAND AVE APT 9182
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City | LOS ANGELES
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State | CA
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Zip | 90034-4557
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Country | US
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Telephone | 562-243-9636
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT37027
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT37027
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License Number State | CA
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