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General NPI Number Information
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NPI Number | 1265315824
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Entity Type | Individual
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Provider Name | DR. STANLEY MCCALLA II
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Gender | Male
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3506 W TYVOLA RD
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City | CHARLOTTE
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State | NC
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Zip | 28208-7201
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Country | US
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Telephone | 704-329-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 11310 CANOE COVE LN
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-2328
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6848
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License Number State | NC
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