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General NPI Number Information
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NPI Number | 1982240065
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Entity Type | Individual
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Provider Name | EMILY MCGUIGAN
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Gender | Female
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Dates
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Enumeration Date | 11/23/2019
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 4106 OKEECHOBEE RD
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City | FORT PIERCE
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State | FL
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Zip | 34947-5412
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Country | US
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Telephone | 860-368-1286
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 NW FEDERAL HWY APT 1331
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City | STUART
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State | FL
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Zip | 34994-9393
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Country | US
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Telephone | 860-368-1286
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 41841
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License Number State | FL
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