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General NPI Number Information
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NPI Number | 1407102007
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Entity Type | Individual
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Provider Name | MATTHEW DAVID MCGUIRE MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVENUE MAIL CODE: RK2-7
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City | CLEVELAND
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State | OH
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Zip | 44193-1913
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Country | US
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Telephone | 216-444-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVENUE MAIL CODE: RK2-7
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City | CLEVELAND
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State | OH
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Zip | 44193-1913
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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 |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.140124
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301104479
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 4301104479
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 34.14024
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License Number State | OH
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