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General NPI Number Information
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NPI Number | 1750509303
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Entity Type | Individual
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Provider Name | MICHAEL THOMAS MCGINN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 3095 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4241
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Country | US
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Telephone | 305-642-4044
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Fax | 305-642-2320
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Provider Business Mailing Address
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Address Line | 8745 SW 56TH PL
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City | COOPER CITY
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State | FL
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Zip | 33328-5917
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Country | US
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Telephone | 865-406-3668
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Fax | 305-642-2320
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO3477
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License Number State | FL
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