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General NPI Number Information
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NPI Number | 1073552287
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Entity Type | Individual
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Provider Name | WILLIAM JAMES MCCANN PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 2000 W 1ST ST #404
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City | WINSTON SALEM
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State | NC
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Zip | 27104-4225
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Country | US
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Telephone | 336-671-4227
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Fax |
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Provider Business Mailing Address
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Address Line | 270 FAIRFAX DR
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City | WINSTON SALEM
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State | NC
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Zip | 27104-3038
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Country | US
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Telephone | 336-765-0026
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2947
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License Number State | NC
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