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General NPI Number Information
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NPI Number | 1659473205
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Entity Type | Individual
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Provider Name | THOMAS JAMES MCCARTER DDS
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Gender | Male
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1514 WHITE BEAR AVE N
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City | SAINT PAUL
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State | MN
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Zip | 55106-1624
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Country | US
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Telephone | 651-774-0311
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Fax | 651-776-3286
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Provider Business Mailing Address
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Address Line | 53 NORD CIRCLE RD
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City | NORTH OAKS
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State | MN
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Zip | 55127-6516
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Country | US
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Telephone | 651-483-5600
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Fax | 651-776-3286
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D6990
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License Number State | MN
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