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General NPI Number Information
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NPI Number | 1376539171
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Entity Type | Individual
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Provider Name | DALE P. MCGINTY MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 8001 YOUREE DR SUITE 650
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City | SHREVEPORT
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State | LA
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Zip | 71115-2302
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Country | US
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Telephone | 318-798-6984
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Fax | 318-221-2184
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Provider Business Mailing Address
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Address Line | 8001 YOUREE DR SUITE 650
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City | SHREVEPORT
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State | LA
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Zip | 71115-2302
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Country | US
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Telephone | 318-798-6984
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Fax | 318-221-2184
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 05375R
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License Number State | LA
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