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General NPI Number Information
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NPI Number | 1578786141
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Entity Type | Individual
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Provider Name | BRYAN JAMES MCGREAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 324 LAFAYETTE ST FL 8
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City | NEW YORK
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State | NY
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Zip | 10012-2726
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Country | US
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Telephone | 212-533-4040
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Fax | 212-625-1534
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Provider Business Mailing Address
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Address Line | 470 W 24TH ST APT 15J
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City | NEW YORK
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State | NY
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Zip | 10011-1238
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Country | US
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Telephone | 212-229-2078
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Fax | 212-625-1534
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 185477
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License Number State | NY
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