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General NPI Number Information
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NPI Number | 1013281567
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Entity Type | Organization
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Legal Business Name | MCGUIRE AND ASSOCIATES FOOT AND ANKLE CARE, INC.
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 2961 LOMA VISTA RD
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City | VENTURA
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State | CA
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Zip | 93003-2915
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Country | US
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Telephone | 805-648-2016
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Fax | 805-643-8667
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Provider Business Mailing Address
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Address Line | 2961 LOMA VISTA RD
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City | VENTURA
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State | CA
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Zip | 93003-2915
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Country | US
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Telephone | 805-648-2016
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Fax | 805-643-8667
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KEITH ALLEN WINTERMUTE
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Credential |
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Telephone | 805-983-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4893
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License Number State | CA
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