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General NPI Number Information
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NPI Number | 1215117270
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Entity Type | Organization
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Legal Business Name | OWEN M MCCARTHY MDPA
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 4701 MANATEE AVE W
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City | BRADENTON
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State | FL
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Zip | 34209-3851
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Country | US
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Telephone | 941-795-3844
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Fax | 941-795-3904
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Provider Business Mailing Address
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Address Line | 4701 MANATEE AVE W
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City | BRADENTON
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State | FL
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Zip | 34209-3851
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Country | US
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Telephone | 941-795-3844
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Fax | 941-795-3904
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Authorized Official
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Title or Position | OWNER
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Name | OWEN M MCCARTHY
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Credential | MD PA
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Telephone | 941-722-6041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME0012107
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License Number State | FL
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