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General NPI Number Information
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NPI Number | 1396720660
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Entity Type | Individual
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Provider Name | ALICE MCGUIRE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 101 N MAGNOLIA ST
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City | ROCKPORT
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State | TX
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Zip | 78382-2748
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Country | US
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Telephone | 361-729-5357
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Fax | 361-576-4219
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Provider Business Mailing Address
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Address Line | PO BOX 3590
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City | VICTORIA
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State | TX
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Zip | 77903-3590
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Country | US
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Telephone | 361-729-5357
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Fax | 361-576-4219
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 537591
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License Number State | TX
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