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General NPI Number Information
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NPI Number | 1578198982
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Entity Type | Individual
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Provider Name | MATTESON MCCARTY
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Gender | Male
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1135 GEORGETOWN RD UNIT 201
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City | CHRISTIANA
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State | PA
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Zip | 17509-9543
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Country | US
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Telephone | 717-466-2462
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Fax |
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-6969
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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