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General NPI Number Information
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NPI Number | 1154319077
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Entity Type | Individual
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Provider Name | EMILY R MCCARTHY D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1817 N BELL ST
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City | FREMONT
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State | NE
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Zip | 68025-3160
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Country | US
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Telephone | 402-727-9100
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Fax | 402-753-9918
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Provider Business Mailing Address
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Address Line | 4901 N 140TH ST
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City | OMAHA
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State | NE
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Zip | 68164-6075
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Country | US
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Telephone | 402-498-8040
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Fax | 402-753-9918
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6169
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License Number State | NE
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