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General NPI Number Information
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NPI Number | 1700167145
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Entity Type | Organization
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Legal Business Name | J. BRITT MCCARTY DMD PA
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 1922 23RD AVE
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City | MERIDIAN
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State | MS
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Zip | 39301-3107
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Country | US
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Telephone | 601-482-8986
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Fax | 601-482-6100
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Provider Business Mailing Address
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Address Line | 1922 23RD AVE
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City | MERIDIAN
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State | MS
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Zip | 39301-3107
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Country | US
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Telephone | 601-482-8986
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Fax | 601-482-6100
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN BRITT MCCARTY
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Credential | DMD
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Telephone | 601-482-8986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | PEDO129-87
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License Number State | MS
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