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General NPI Number Information
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NPI Number | 1801381454
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Entity Type | Organization
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Legal Business Name | EUGENE J MCGUIRE DDS, PC
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 1575 POND RD STE 105
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City | ALLENTOWN
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State | PA
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Zip | 18104-2254
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Country | US
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Telephone | 610-481-9100
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Fax | 610-481-9275
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Provider Business Mailing Address
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Address Line | 1575 POND RD STE 105
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City | ALLENTOWN
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State | PA
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Zip | 18104-2254
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Country | US
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Telephone | 610-481-9100
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Fax | 610-481-9275
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | RYAN JAMES MCGUIRE
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Credential | DMD
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Telephone | 610-481-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DSO-19685L
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License Number State | PA
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