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General NPI Number Information
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NPI Number | 1972654481
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Entity Type | Individual
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Provider Name | JUDY LYNNE MCGRAIN D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 14127 CAPRI DR STE. 7
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City | LOS GATOS
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State | CA
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Zip | 95032-1534
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Country | US
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Telephone | 408-370-6886
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Fax | 408-370-7230
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Provider Business Mailing Address
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Address Line | 14127 CAPRI DR STE. 7
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City | LOS GATOS
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State | CA
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Zip | 95032-1534
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Country | US
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Telephone | 408-370-6886
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Fax | 408-370-7230
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 016735
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License Number State | CA
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