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General NPI Number Information
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NPI Number | 1558084541
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Entity Type | Individual
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Provider Name | ANDREW THOMAS MCCAN OD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 5535 CALLOWAY DR # 100
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City | BAKERSFIELD
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State | CA
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Zip | 93312-9725
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Country | US
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Telephone | 661-589-9870
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Fax |
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Provider Business Mailing Address
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Address Line | 2406 20TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3414
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Country | US
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Telephone | 661-808-7045
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 35320
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License Number State | CA
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