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General NPI Number Information
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NPI Number | 1447501424
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Entity Type | Individual
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Provider Name | THOMAS ANDREW MCCRARY JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 1954 OLD GALLOWS RD
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City | VIENNA
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State | VA
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Zip | 22182-3971
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Country | US
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Telephone | 703-827-0770
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Fax | 703-821-5058
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Provider Business Mailing Address
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Address Line | 1954 OLD GALLOWS RD
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City | VIENNA
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State | VA
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Zip | 22182-3971
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Country | US
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Telephone | 703-827-0770
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Fax | 703-821-5058
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 04010004121
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License Number State | VA
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