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General NPI Number Information
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NPI Number | 1780408526
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Entity Type | Organization
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Legal Business Name | DR. MARGUERITE B. MAGUIRE MD, APC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 10323 SANTA MONICA BLVD STE 11
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City | LOS ANGELES
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State | CA
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Zip | 90025-6071
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Country | US
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Telephone | 323-897-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 SE DIVISION ST STE 203B
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City | PORTLAND
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State | OR
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Zip | 97202-1087
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MARGUERITE MAGUIRE
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Credential | MD
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Telephone | 323-897-1125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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