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General NPI Number Information
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NPI Number | 1275685307
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Entity Type | Organization
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Legal Business Name | CAM MCCARTHY MPH PHD PA
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1033 MONTANA STREET
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City | ORLANDO
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State | FL
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Zip | 32803-1652
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Country | US
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Telephone | 407-895-9700
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Fax | 407-228-7455
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Provider Business Mailing Address
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Address Line | 1033 MONTANA STREET
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City | ORLANDO
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State | FL
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Zip | 32803-1652
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Country | US
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Telephone | 407-895-9700
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Fax | 407-228-7455
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAM MCCARTHY
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Credential | MPH PHD
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Telephone | 407-895-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 002425
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12792
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License Number State | CA
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