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General NPI Number Information
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NPI Number | 1952675993
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Entity Type | Organization
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Legal Business Name | DONALD PATRICK MCGROREY MD PLLC
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 6440 N DURANGO DR BLDG A
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City | LAS VEGAS
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State | NV
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Zip | 89149-8513
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Country | US
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Telephone | 702-227-3669
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Fax | 866-870-6184
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Provider Business Mailing Address
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Address Line | 6955 N DURANGO DR UNIT 1115
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City | LAS VEGAS
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State | NV
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Zip | 89149-4418
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Country | US
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Telephone | 702-227-3669
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Fax | 866-870-6184
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DONALD P MCGROREY
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Credential | MD
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Telephone | 702-227-3669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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