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General NPI Number Information
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NPI Number | 1326018433
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Entity Type | Individual
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Provider Name | DAVID R MCCOMB D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 109 W MAPLE AVE
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City | MERCHANTVILLE
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State | NJ
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Zip | 08109-2038
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Country | US
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Telephone | 609-953-5517
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Fax | 609-953-1135
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Provider Business Mailing Address
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Address Line | PO BOX 445
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City | MEDFORD
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State | NJ
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Zip | 08055-0445
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Country | US
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Telephone | 609-953-5517
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Fax | 609-953-1135
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | MB69772
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License Number State | NJ
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