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General NPI Number Information
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NPI Number | 1477378677
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Entity Type | Organization
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Legal Business Name | MCGINLEY ORTHO SERVICES
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1845 EASTWEST PKWY STE 14
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-6408
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Country | US
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Telephone | 904-719-0434
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Fax |
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Provider Business Mailing Address
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Address Line | 1886 HICKORY TRACE DR
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-8387
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Country | US
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Telephone | 904-295-6211
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Fax |
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Authorized Official
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Title or Position | ORTHOPEDIC SURGEON
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Name | SCOTT MCGINLEY
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Credential | M.D.
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Telephone | 904-719-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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