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General NPI Number Information
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NPI Number | 1508739889
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Entity Type | Individual
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Provider Name | DAVID D MCCOY LSW
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Gender | Male
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 42 DELSEA DR S
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City | GLASSBORO
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State | NJ
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Zip | 08028-2621
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Country | US
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Telephone | 844-422-3632
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Fax | 856-881-5508
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Provider Business Mailing Address
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Address Line | 1431 S HICKS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-4818
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Country | US
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Telephone | 856-296-9528
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07287800
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License Number State | NJ
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