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General NPI Number Information
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NPI Number | 1427708734
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Entity Type | Individual
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Provider Name | MICHAEL JOHN MCGUIRE LMT
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Gender | Male
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 984 N BROADWAY # L-08
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City | YONKERS
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State | NY
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Zip | 10701-1318
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Country | US
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Telephone | 914-207-8270
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Fax |
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Provider Business Mailing Address
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Address Line | 166 W 22ND ST APT 5C
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City | NEW YORK
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State | NY
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Zip | 10011-2459
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Country | US
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Telephone | 917-846-6444
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 017327
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License Number State | NY
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