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General NPI Number Information
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NPI Number | 1629591524
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Entity Type | Individual
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Provider Name | DARA N. MCCOY HWS
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Gender | Female
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Dates
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Enumeration Date | 07/23/2017
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 336 E NEW YORK AVE
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City | DELAND
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State | FL
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Zip | 32724-5510
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Country | US
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Telephone | 239-255-9175
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2415
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City | DELAND
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State | FL
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Zip | 32721-2415
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Country | US
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Telephone | 239-255-9175
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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