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General NPI Number Information
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NPI Number | 1386622280
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Entity Type | Individual
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Provider Name | MATTHEW B MCCAULEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 143 VISION PARK BLVD
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City | SHENANDOAH
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State | TX
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Zip | 77384-3001
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Country | US
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Telephone | 281-363-3443
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Fax | 936-271-1351
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Provider Business Mailing Address
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Address Line | 21502 MERCHANTS WAY
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City | KATY
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State | TX
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Zip | 77449-2517
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Country | US
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Telephone | 281-944-2232
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Fax | 281-944-2290
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 39778
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 01064830A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | M6753
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License Number State | TX
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