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General NPI Number Information
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NPI Number | 1225558166
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Entity Type | Individual
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Provider Name | DAVID KENDRICK MCKEARN PA
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Gender | Male
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 2001 VAIL AVE
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City | CHARLOTTE
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State | NC
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Zip | 28207-1248
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Country | US
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Telephone | 704-304-5917
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Fax |
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Provider Business Mailing Address
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Address Line | 7304 DULNIAN WAY
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City | CHARLOTTE
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State | NC
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Zip | 28278-7908
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Country | US
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Telephone | 267-261-4164
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-10587
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License Number State | NC
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