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General NPI Number Information
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NPI Number | 1831321553
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Entity Type | Individual
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Provider Name | JOHN R MCGAULEY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 3134 WATERFRONT DR
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City | CHATTANOOGA
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State | TN
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Zip | 37419-1535
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Country | US
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Telephone | 423-821-5645
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Fax | 423-821-1766
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Provider Business Mailing Address
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Address Line | 3134 WATERFRONT DR
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City | CHATTANOOGA
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State | TN
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Zip | 37419-1535
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Country | US
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Telephone | 423-821-5645
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Fax | 423-821-1766
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD0000006679
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MD0000006679
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License Number State | TN
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