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General NPI Number Information
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NPI Number | 1598034480
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Entity Type | Individual
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Provider Name | HUGH LYNN MCCARTY LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 157 ROSS CARTER BLVD
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City | DUFFIELD
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State | VA
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Zip | 24244-5116
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Country | US
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Telephone | 276-698-5473
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 979
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City | WISE
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State | VA
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Zip | 24293-0979
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Country | US
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Telephone | 276-698-5473
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904005624
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW00000003921
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License Number State | TN
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