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General NPI Number Information
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NPI Number | 1639429582
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Entity Type | Organization
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Legal Business Name | JOHN A. MCGURTY, JR., M.D., P.C.
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 211 S DIVISION ST
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City | PEEKSKILL
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State | NY
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Zip | 10566-3611
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Country | US
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Telephone | 914-736-0400
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Fax | 914-736-9632
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Provider Business Mailing Address
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Address Line | 211 S DIVISION ST
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City | PEEKSKILL
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State | NY
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Zip | 10566-3611
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Country | US
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Telephone | 914-736-0400
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Fax | 914-736-9632
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN A MCGURTY, JR.
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Credential | M.D.
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Telephone | 914-736-0400
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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 | 142559-1
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License Number State | NY
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