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General NPI Number Information
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NPI Number | 1700071271
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Entity Type | Organization
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Legal Business Name | STEPHEN MAGUIRE DO
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 360 KINGSTOWN RD
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3239
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Country | US
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Telephone | 401-783-6940
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Fax |
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Provider Business Mailing Address
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Address Line | 360 KINGSTOWN RD
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3239
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Country | US
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Telephone | 401-783-6940
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN MAGUIRE
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Credential | DO
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Telephone | 401-783-6940
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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 | RI316
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License Number State | RI
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