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General NPI Number Information
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NPI Number | 1295079267
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Entity Type | Individual
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Provider Name | COLLEEN P. MCGUIGAN LPN
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 3 CUSA DR
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City | HIGHLAND
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State | NY
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Zip | 12528
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Country | US
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Telephone | 845-532-7804
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CUSA DR
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City | HIGHLAND
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State | NY
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Zip | 12528-2307
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Country | US
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Telephone | 845-532-7804
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 307925
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 307925
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License Number State | NY
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