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General NPI Number Information
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NPI Number | 1396920823
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Entity Type | Organization
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Legal Business Name | DR MICHAEL MCGUINESS, PA
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1450 N PRESTON RD STE 60
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City | PROSPER
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State | TX
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Zip | 75078-9890
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Country | US
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Telephone | 972-316-4555
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Fax | 469-481-2373
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Provider Business Mailing Address
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Address Line | PO BOX 679191
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City | DALLAS
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State | TX
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Zip | 75267-9191
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL MCGUINESS
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Credential | M.D.
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Telephone | 214-615-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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