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General NPI Number Information
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NPI Number | 1932183662
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Entity Type | Individual
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Provider Name | SANDRA BLAKE MAGUIRE MD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 1 COMPASS WAY SUITE 205
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-1465
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Country | US
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Telephone | 508-350-2150
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Fax | 508-350-2151
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Provider Business Mailing Address
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Address Line | 362 N BEDFORD ST
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-1148
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Country | US
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Telephone | 508-350-2350
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Fax | 508-350-2318
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 219717
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License Number State | MA
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