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General NPI Number Information
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NPI Number | 1285694521
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Entity Type | Individual
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Provider Name | GREGORY A MCDONALD D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 943 S GILBERT ST SUITE 1
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City | IOWA CITY
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State | IA
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Zip | 52240-4742
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Country | US
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Telephone | 319-338-2273
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Fax | 319-338-1225
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Provider Business Mailing Address
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Address Line | 943 S GILBERT ST SUITE 1
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City | IOWA CITY
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State | IA
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Zip | 52240-4742
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Country | US
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Telephone | 319-338-2273
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Fax | 319-338-1225
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 04746
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 124
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 3036
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 2388
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License Number State | IA
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