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General NPI Number Information
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NPI Number | 1114151446
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Entity Type | Individual
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Provider Name | ASHLEY DAWN MCGUIRE D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 641 CAMPUS DR STE A
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City | ABINGDON
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State | VA
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Zip | 24210-9700
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Country | US
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Telephone | 276-676-3870
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | KINGSPORT
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State | TN
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Zip | 37662-0009
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Country | US
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Telephone | 423-857-2066
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102205124
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License Number State | VA
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