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General NPI Number Information
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NPI Number | 1528138831
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Entity Type | Organization
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Legal Business Name | MCCARTHY FAMILY CHIROPRACTIC, PC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/28/2009
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Provider Practice Location Address
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Address Line | 916 EVANS ST
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City | GREENVILLE
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State | NC
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Zip | 27834-3266
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Country | US
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Telephone | 252-758-2222
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Fax | 252-758-2524
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Provider Business Mailing Address
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Address Line | 916 EVANS ST
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City | GREENVILLE
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State | NC
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Zip | 27834-3266
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Country | US
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Telephone | 252-758-2222
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Fax | 252-758-2524
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT MCCARTHY
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Credential |
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Telephone | 252-758-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2058
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License Number State | NC
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