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General NPI Number Information
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NPI Number | 1770572687
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Entity Type | Individual
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Provider Name | JAYNE MCGUIRE MD
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Gender | Female
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 2001 VAIL AVE
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City | CHARLOTTE
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State | NC
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Zip | 28207-1219
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Country | US
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Telephone | 704-379-5956
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Fax | 704-379-6218
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Provider Business Mailing Address
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Address Line | 344 ROLLING HILL RD STE 102
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City | MOORESVILLE
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State | NC
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Zip | 28117-6865
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Country | US
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Telephone | 704-464-4439
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Fax | 704-664-8802
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0034339
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License Number State | NC
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