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General NPI Number Information
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NPI Number | 1528110913
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Entity Type | Individual
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Provider Name | JOHN DAVID MCGRAW D.C.,CCSP
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 565 MAIN ST
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City | MANY
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State | LA
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Zip | 71449-3028
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Country | US
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Telephone | 318-256-6767
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Fax | 318-256-0793
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Provider Business Mailing Address
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Address Line | 565 MAIN ST
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City | MANY
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State | LA
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Zip | 71449-3028
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Country | US
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Telephone | 318-256-6767
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Fax | 318-256-0793
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 1251
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1251
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License Number State | LA
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