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General NPI Number Information
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NPI Number | 1447225917
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Entity Type | Individual
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Provider Name | CAROLYN K. MCGRATH M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 200 HIGH SERVICE AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-5113
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Country | US
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Telephone | 401-456-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 65377
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City | CHARLOTTE
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State | NC
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Zip | 28265-0377
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Country | US
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Telephone | 800-377-8721
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Fax | 304-523-2241
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD08401
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 045714
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License Number State | CT
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