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General NPI Number Information
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NPI Number | 1225119399
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Entity Type | Individual
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Provider Name | HEATHER MCCANN MCINTOSH M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 615 WESLEY DR STE 100
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City | CHARLESTON
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State | SC
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Zip | 29407-7206
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Country | US
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Telephone | 843-884-0302
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Fax | 843-849-9308
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 888-472-0043
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Fax | 843-724-2440
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 12753
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A 104055
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 26146
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 26146
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License Number State | SC
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