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General NPI Number Information
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NPI Number | 1871038182
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Entity Type | Individual
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Provider Name | DANIELLE MCGUIRE
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Gender | Female
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 10135 W KENTUCKY DR
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City | LAKEWOOD
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State | CO
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Zip | 80226-3942
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Country | US
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Telephone | 720-469-8475
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Fax | 303-985-4321
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Provider Business Mailing Address
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Address Line | 10135 W KENTUCKY DR
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City | LAKEWOOD
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State | CO
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Zip | 80226-3942
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Country | US
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Telephone | 720-469-8475
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Fax | 303-985-4321
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 225700000X
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License Number State | CO
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