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General NPI Number Information
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NPI Number | 1003844457
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Entity Type | Individual
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Provider Name | MARY ANNE MCGINN MD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BAY PINES VA HEALTHCARE SYSTEM 10000 BAY PINES BLVD
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City | ST PETERSBURG
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 7225 BRYCE PT
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City | PINELLAS PARK
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State | FL
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Zip | 33782-4338
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Country | US
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Telephone | 727-549-8918
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0072627
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License Number State | FL
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