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General NPI Number Information
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NPI Number | 1285663955
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Entity Type | Individual
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Provider Name | GEORGE A MCCRARY MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 1188 N SALEM RD SUITE 6
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City | FAYETTEVILLE
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State | AR
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Zip | 72704
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Country | US
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Telephone | 479-442-0006
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Fax | 479-442-3038
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Provider Business Mailing Address
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Address Line | PO BOX 1523
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City | FAYETTEVILLE
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State | AR
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Zip | 72702-1523
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Country | US
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Telephone | 479-571-6038
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Fax | 479-582-0222
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C-3261
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License Number State | AR
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