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General NPI Number Information
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NPI Number | 1831393792
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Entity Type | Individual
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Provider Name | STEPHANY ANN-MARIE MCGANN MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 651 MAIN ST
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City | LAUREL
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State | MD
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Zip | 20707-4067
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Country | US
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Telephone | 301-725-7014
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Fax | 301-725-7280
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Provider Business Mailing Address
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Address Line | 651 MAIN ST
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City | LAUREL
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State | MD
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Zip | 20707-4067
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Country | US
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Telephone | 301-725-7014
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Fax | 301-725-7280
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D68062
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD035901
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | D68062
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD035901
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License Number State | DC
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