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General NPI Number Information
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NPI Number | 1285192815
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Entity Type | Individual
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Provider Name | BRIAN EDWARD MCCARTY CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/02/2019
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 34 MAPLE ST
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City | NORWALK
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State | CT
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Zip | 06850
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Country | US
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Telephone | 866-642-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 356 WHEELERS FARMS RD APT 2-202
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City | MILFORD
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State | CT
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Zip | 06461-1971
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Country | US
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Telephone | 347-578-4200
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 8616
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License Number State | CT
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