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General NPI Number Information
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NPI Number | 1538255377
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Entity Type | Individual
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Provider Name | LISA ANN MCCARTHY NP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 667 STONELEIGH AVE STE 111
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City | CARMEL
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State | NY
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Zip | 10512-2455
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Country | US
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Telephone | 845-279-9652
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Fax | 845-279-3606
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Provider Business Mailing Address
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Address Line | 19 PARK HILL TER
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City | MAHOPAC
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State | NY
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Zip | 10541-3048
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Country | US
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Telephone | 845-621-9799
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F381445
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 381445
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License Number State | NY
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