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NPI 1134440076

NPI 1134440076 : MORGAN JANELLE MCCARTY DO : ROUND ROCK, TX

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General NPI Number Information
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    NPI Number           |    1134440076
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    Entity Type          |    Individual 
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    Provider Name        |    MORGAN JANELLE MCCARTY DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/15/2010
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    940 HESTERS CROSSING RD 
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    City                 |    ROUND ROCK
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    State                |    TX
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    Zip                  |    78681-8018
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    Country              |    US
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    Telephone            |    512-244-9024
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    Fax                  |    512-406-7342
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Provider Business Mailing Address
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    Address Line         |    4515 SETON CENTER PKWY STE 215 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78759-5785
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    Country              |    US
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    Telephone            |    512-231-5506
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    Fax                  |    512-406-6216
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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        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    P9648
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    License Number State |    TX
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