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General NPI Number Information
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NPI Number | 1891105516
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Entity Type | Individual
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Provider Name | HOPE H MCGINN PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 5602 EL CAJON BOULEVARD COLONIAL CORNER MEDICAL GROUP
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City | SAN DIEGO
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State | CA
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Zip | 92115-3735
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Country | US
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Telephone | 619-582-5105
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Fax | 619-582-5121
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Provider Business Mailing Address
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Address Line | 4440 EUCLID AVE # C
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City | SAN DIEGO
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State | CA
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Zip | 92115-4522
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Country | US
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Telephone | 619-582-5105
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Fax | 619-582-5121
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 23290
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License Number State | CA
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