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General NPI Number Information
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NPI Number | 1558370395
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Entity Type | Individual
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Provider Name | BRIAN E MCCARTHY DPM
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2858 MAHAN DR STE 1&2
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5446
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Country | US
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Telephone | 850-942-0096
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Fax | 850-942-0090
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Provider Business Mailing Address
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Address Line | 3570 STROLLING WAY
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City | TALLAHASSEE
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State | FL
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Zip | 32311-3767
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Country | US
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Telephone | 352-238-4237
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Fax | 850-942-0090
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO2298
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License Number State | FL
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