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General NPI Number Information
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NPI Number | 1023018694
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Entity Type | Individual
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Provider Name | PATRICIA G. MCGINTY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3906 DUPONT SQ S SUITE A
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City | LOUISVILLE
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State | KY
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Zip | 40207-4647
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Country | US
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Telephone | 502-896-1850
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Fax | 502-896-6863
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Provider Business Mailing Address
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Address Line | 3906 DUPONT SQ S SUITE A
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City | LOUISVILLE
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State | KY
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Zip | 40207-4647
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Country | US
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Telephone | 502-896-1850
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Fax | 502-896-6863
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 00661
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License Number State | KY
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