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General NPI Number Information
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NPI Number | 1487254306
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Entity Type | Individual
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Provider Name | ZANE T MCGUIRE PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 378 W CHESTNUT ST STE 103
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City | WASHINGTON
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State | PA
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Zip | 15301-4661
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Country | US
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Telephone | 412-660-7064
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Fax |
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Provider Business Mailing Address
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Address Line | 339 S MIMOSA LN APT 14
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City | BRIDGEPORT
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State | WV
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Zip | 26330-2017
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Country | US
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Telephone | 412-417-4401
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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