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General NPI Number Information
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NPI Number | 1326566316
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Entity Type | Organization
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Legal Business Name | DAVID MCGRATH INC.
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4445 EASTGATE MALL STE 120
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City | SAN DIEGO
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State | CA
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Zip | 92121-1979
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Country | US
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Telephone | 858-488-1057
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Fax |
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Provider Business Mailing Address
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Address Line | 4445 EASTGATE MALL STE 120
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City | SAN DIEGO
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State | CA
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Zip | 92121-1979
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Country | US
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Telephone | 858-488-1057
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID MCGRATH
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Credential | D.C.
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Telephone | 858-450-1805
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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 | DC23055
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License Number State | CA
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