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General NPI Number Information
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NPI Number | 1699092510
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Entity Type | Individual
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Provider Name | JOHN M MCCURDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2010
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 4100 TAYLOR BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40215-2342
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Country | US
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Telephone | 502-366-4747
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Fax | 502-996-8309
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Provider Business Mailing Address
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Address Line | PO BOX 950244
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City | LOUISVILLE
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State | KY
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Zip | 40295-0244
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Country | US
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Telephone | 502-953-4700
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Fax | 502-772-8189
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 46258
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 46258
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License Number State | KY
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