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General NPI Number Information
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NPI Number | 1649656257
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Entity Type | Organization
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Legal Business Name | JAMES MCGRATH MD, PLLC
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 624 W MAIN ST
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City | YADKINVILLE
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State | NC
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Zip | 27055-7804
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Country | US
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Telephone | 336-469-3897
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Fax |
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Provider Business Mailing Address
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Address Line | 624 W MAIN ST
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City | YADKINVILLE
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State | NC
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Zip | 27055-7804
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | JAMES S. MCGRATH
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Credential |
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Telephone | 336-469-3897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 25818
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25818
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License Number State | NC
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