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General NPI Number Information
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NPI Number | 1568448181
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Entity Type | Individual
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Provider Name | KERRY D MCCARROLL MD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 400 MEDIC LN STE C
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City | ALVIN
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State | TX
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Zip | 77511-5567
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Country | US
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Telephone | 281-331-0082
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Fax | 281-331-2624
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Provider Business Mailing Address
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Address Line | PO BOX 1968
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City | ALVIN
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State | TX
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Zip | 77512-1968
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Country | US
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Telephone | 281-331-0082
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Fax | 281-331-4802
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F9797
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License Number State | TX
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