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General NPI Number Information
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NPI Number | 1336217033
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Entity Type | Organization
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Legal Business Name | MICHAEL J. MCCARTY O.D. PC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 1022 ASHLEY BLVD
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City | NEW BEDFORD
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State | MA
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Zip | 02745-2416
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Country | US
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Telephone | 508-998-5411
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Fax | 508-985-9047
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Provider Business Mailing Address
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Address Line | 1022 ASHLEY BLVD
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City | NEW BEDFORD
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State | MA
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Zip | 02745-2416
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Country | US
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Telephone | 508-998-5411
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Fax | 508-985-9047
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Authorized Official
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Title or Position | OPTOMITRIST
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Name | DR. MICHAEL J MCCARTY
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Credential | OD
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Telephone | 508-998-5411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2260
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License Number State | MA
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