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General NPI Number Information
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NPI Number | 1528126331
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Entity Type | Organization
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Legal Business Name | MCCARL DENTAL GROUP PC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8601 VETERANS HIGHWAY SUITE 101
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City | MILLERSVILLE
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State | MD
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Zip | 21108
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Country | US
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Telephone | 410-987-8800
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Fax | 410-987-6969
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Provider Business Mailing Address
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Address Line | 8601 VETERANS HIGHWAY SUITE 101
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City | MILLERSVILLE
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State | MD
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Zip | 21108
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Country | US
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Telephone | 410-987-8800
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Fax | 410-987-6969
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Authorized Official
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Title or Position | OWNER PARTNER
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Name | DR. CLAYTON S MCCARL JR.
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Credential | DDS
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Telephone | 410-987-8800
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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 | 8452
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8476
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10419
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License Number State | MD
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