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General NPI Number Information
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NPI Number | 1154535615
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Entity Type | Individual
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Provider Name | JASMIN L MCGINTY MD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 301 N 8TH ST STE PAV3B
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City | SPRINGFIELD
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State | IL
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Zip | 62701-1041
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Country | US
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Telephone | 217-545-7500
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Fax | 217-545-7305
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Provider Business Mailing Address
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Address Line | PO BOX 19650
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9650
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Country | US
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Telephone | 217-545-7500
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Fax | 217-545-7305
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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 | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 036.126074
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0116016434
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License Number State | VA
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