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General NPI Number Information
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NPI Number | 1457795189
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Entity Type | Individual
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Provider Name | JOHN-MICHAEL MCGAUGH DO
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Gender | Male
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 07/03/2017
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Provider Practice Location Address
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Address Line | 30 STACY LANE RD
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City | IRVINE
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State | KY
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Zip | 40336-7356
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Country | US
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Telephone | 606-723-0665
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Fax | 606-723-0680
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Provider Business Mailing Address
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Address Line | 1010 MAIN STREET SOUTH
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City | MCKEE
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State | KY
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Zip | 40447-7089
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Country | US
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Telephone | 859-626-7700
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Fax | 859-626-7890
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04166
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License Number State | KY
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