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General NPI Number Information
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NPI Number | 1770863169
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Entity Type | Individual
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Provider Name | RYAN JAMES MCGUIRE D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 1814 W TILGHMAN ST
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City | ALLENTOWN
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State | PA
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Zip | 18104-4116
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Country | US
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Telephone | 484-214-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 32 WASHINGTON AVE
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City | BERNARDSVILLE
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State | NJ
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Zip | 07924-2529
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Country | US
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Telephone | 610-392-5802
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS037966
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS-037966
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License Number State | PA
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