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General NPI Number Information
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NPI Number | 1295795920
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Entity Type | Individual
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Provider Name | EDWARD R MCCARTHY D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2006
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 106 LANSFORD CT SUITE 100
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City | MYRTLE BEACH
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State | SC
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Zip | 29588
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Country | US
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Telephone | 843-293-8850
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Fax | 843-293-8860
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Provider Business Mailing Address
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Address Line | 106 LANSFORD CT SUITE 100
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City | MYRTLE BEACH
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State | SC
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Zip | 29588
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Country | US
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Telephone | 843-293-8850
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Fax | 843-293-8860
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0584
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 204061
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License Number State | NC
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