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General NPI Number Information
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NPI Number | 1396922514
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Entity Type | Organization
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Legal Business Name | DR. RICHARD N. MCCARTY, INC.
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 495 MAIN ST
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City | GROVEPORT
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State | OH
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Zip | 43125-1184
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Country | US
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Telephone | 614-836-3711
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Fax | 614-836-0020
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Provider Business Mailing Address
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Address Line | 495 MAIN ST
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City | GROVEPORT
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State | OH
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Zip | 43125-1184
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Country | US
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Telephone | 614-836-3711
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Fax | 614-836-0020
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RICHARD NORMAN MCCARTY
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Credential | D.O.
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Telephone | 614-836-3711
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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 | 2497
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License Number State | OH
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