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General NPI Number Information
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NPI Number | 1134198864
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Entity Type | Individual
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Provider Name | VICKI R MCCARREN MD
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 8592 POTTER PARK DR
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City | SARASOTA
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State | FL
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Zip | 34238-5467
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Country | US
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Telephone | 941-921-6618
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Fax | 941-922-0556
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Provider Business Mailing Address
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Address Line | 8357 MAREVA LN
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City | SARASOTA
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State | FL
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Zip | 34241-9560
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME67857
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License Number State | FL
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