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General NPI Number Information
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NPI Number | 1093873895
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Entity Type | Organization
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Legal Business Name | J CHRISTOPHER MCGINNIS PHD PA
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 13730 CYPRESS TERRACE CIRCLE SUITE 401
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City | FORT MYERS
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State | FL
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Zip | 33907
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Country | US
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Telephone | 239-482-2655
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Fax | 239-482-2656
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Provider Business Mailing Address
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Address Line | 13730 CYPRESS TERRACE CIRCLE SUITE 401
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City | FORT MYERS
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State | FL
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Zip | 33907
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Country | US
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Telephone | 239-482-2655
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Fax | 239-482-2656
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN CHRISTOPHER MCGINNIS
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Credential | PHD
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Telephone | 239-482-2655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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