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General NPI Number Information
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NPI Number | 1083113518
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Entity Type | Organization
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Legal Business Name | MCCARTHY PLASTIC SURGERY, PLLC
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Dates
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Enumeration Date | 02/10/2018
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Last Update Date | 02/10/2018
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Provider Practice Location Address
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Address Line | 2500 ROCKY MOUNTAIN AVE STE 2130
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City | LOVELAND
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State | CO
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Zip | 80538-9004
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Country | US
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Telephone | 970-286-2446
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Fax | 970-413-6929
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Provider Business Mailing Address
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Address Line | 5960 QUARRY ST
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City | TIMNATH
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State | CO
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Zip | 80547-2504
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Country | US
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Telephone | 970-286-2446
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Fax | 970-413-6929
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JAMES EDWARD MCCARTHY
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Credential | MD
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Telephone | 970-286-2446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | DR0056618
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License Number State | CO
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