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General NPI Number Information
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NPI Number | 1285938977
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Entity Type | Individual
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Provider Name | ALISTER MAGUIRE L.M.T.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 250 OAK ST STE 5
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City | ASHLAND
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State | OR
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Zip | 97520-1855
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Country | US
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Telephone | 541-227-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 278 IDAHO ST APT 19
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City | ASHLAND
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State | OR
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Zip | 97520-7902
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Country | US
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Telephone | 541-227-3191
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 17546
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License Number State | OR
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