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General NPI Number Information
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NPI Number | 1003845371
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Entity Type | Individual
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Provider Name | JOHN E MCGINTY IV M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 1100 REID PKWY SUITE 210
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City | RICHMOND
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State | IN
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Zip | 47374-1157
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Country | US
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Telephone | 765-962-1337
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Fax | 765-966-0858
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Provider Business Mailing Address
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Address Line | 1100 REID PKWY MEDICAL STAFF SERVICES
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City | RICHMOND
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State | IN
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Zip | 47374-1157
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Country | US
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Telephone | 765-962-1337
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Fax | 765-966-0858
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01062763A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35.081311
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License Number State | OH
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