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General NPI Number Information
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NPI Number | 1306423843
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Entity Type | Individual
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Provider Name | MICHAEL MCGEAGH
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Gender | Male
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 2076 NC HIGHWAY 42 W STE 230
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City | CLAYTON
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State | NC
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Zip | 27520-5303
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Country | US
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Telephone | 919-553-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 4705 UNIVERSITY DR BLDG 700
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City | DURHAM
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State | NC
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Zip | 27707-3489
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Country | US
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Telephone | 919-748-4899
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 202402065
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License Number State | NC
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