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General NPI Number Information
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NPI Number | 1538150206
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Entity Type | Individual
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Provider Name | DARIN MICHAEL MCCANN P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 4401 COLLEGE DR
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-3507
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Country | US
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Telephone | 307-448-3220
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Fax | 970-871-1234
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Provider Business Mailing Address
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Address Line | 705 MARKETPLACE PLZ STE 200
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-1841
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Country | US
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Telephone | 970-879-6663
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Fax | 970-871-1234
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA07484
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 278
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License Number State | WY
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