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General NPI Number Information
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NPI Number | 1043425804
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Entity Type | Individual
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Provider Name | DAVID A. MACGREGOR D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 633 W. 3RD ST. S.
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City | FULTON
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State | NY
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Zip | 13069
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Country | US
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Telephone | 315-343-6160
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Fax | 315-343-8556
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Provider Business Mailing Address
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Address Line | 633 W. 3RD ST. S.
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City | FULTON
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State | NY
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Zip | 13069
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Country | US
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Telephone | 315-343-6160
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Fax | 315-343-8556
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN15695
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 051594
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License Number State | NY
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