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General NPI Number Information
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NPI Number | 1629168679
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Entity Type | Individual
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Provider Name | DANYEL BOURGEOIS MCEVOY MD
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4450 LEEDS PL W STE A
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City | N CHARLESTON
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State | SC
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Zip | 29405-8405
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Country | US
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Telephone | 843-763-2611
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Fax | 843-852-4099
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 888-472-0043
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Fax | 843-724-2440
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 25287
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License Number State | SC
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