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General NPI Number Information
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NPI Number | 1669460937
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Entity Type | Individual
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Provider Name | ROBERT A MCGUIRE JR. MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 2500 N STATE STREET
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City | JACKSON
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State | MS
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Zip | 39216
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Country | US
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Telephone | 601-984-6525
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Fax | 601-984-5151
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Provider Business Mailing Address
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Address Line | 2500 N STATE STREET PO BOX 3188
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City | JACKSON
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State | MS
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Zip | 39207-3188
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Country | US
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Telephone | 601-984-6525
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Fax | 601-984-5151
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 12422
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License Number State | MS
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