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General NPI Number Information
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NPI Number | 1760514582
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Entity Type | Organization
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Legal Business Name | JOHN J MCGROARTY M D INC A MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 10614 RIVERSIDE DR
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-2373
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Country | US
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Telephone | 818-763-8839
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Fax | 818-769-7849
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Provider Business Mailing Address
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Address Line | 10614 RIVERSIDE DR.
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602
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Country | US
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Telephone | 818-763-8839
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Fax | 818-769-7849
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. PATRICIA M BURNS
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Credential |
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Telephone | 818-763-8839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G129381
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License Number State | CA
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