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General NPI Number Information
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NPI Number | 1316463151
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Entity Type | Individual
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Provider Name | STEPHEN H. MCCANN C. PED.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 23 EAST RD.
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City | WESTMINSTER
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State | MA
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Zip | 01473
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Country | US
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Telephone | 972-874-0843
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Fax | 978-874-0843
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Provider Business Mailing Address
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Address Line | 23 EAST RD.
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City | WESTMINSTER
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State | MA
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Zip | 01473
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Country | US
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Telephone | 978-874-0843
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Fax | 978-874-0843
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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 | 224L00000X
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Taxonomy Name | Pedorthist
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License Number | CPED0429
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License Number State |
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