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General NPI Number Information
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NPI Number | 1134943913
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Entity Type | Organization
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Legal Business Name | GERALD A. MAGUIRE MD INC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 31103 RANCHO VIEJO RD STE D3046
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1759
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Country | US
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Telephone | 714-287-0895
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Fax | 949-502-8887
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Provider Business Mailing Address
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Address Line | 31103 RANCHO VIEJO RD STE D3046
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1759
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Country | US
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Telephone | 714-287-0895
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Fax | 949-502-8887
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Authorized Official
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Title or Position | MD CEO
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Name | DR. GERALD MAGUIRE
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Credential | MD
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Telephone | 714-287-0895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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