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General NPI Number Information
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NPI Number | 1265368211
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Entity Type | Individual
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Provider Name | RYAN MCGUIRE DMD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 3401 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5189
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Country | US
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Telephone | 914-536-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 LOMBARD ST APT 10A
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City | PHILADELPHIA
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State | PA
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Zip | 19146-4043
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Country | US
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Telephone | 914-536-2001
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS045894
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License Number State | PA
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