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General NPI Number Information
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NPI Number | 1073603767
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Entity Type | Individual
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Provider Name | PAUL R MCCARTHY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 202 MYRTLE RIDGE RD
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City | LUTZ
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State | FL
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Zip | 33549-5628
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Country | US
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Telephone | 813-857-3605
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Fax | 813-909-8399
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Provider Business Mailing Address
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Address Line | 202 MYRTLE RIDGE RD
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City | LUTZ
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State | FL
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Zip | 33549-5628
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Country | US
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Telephone | 813-857-3605
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Fax | 813-909-8399
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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 | PY-6207
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS-005297-L
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License Number State | PA
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