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General NPI Number Information
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NPI Number | 1700910858
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Entity Type | Organization
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Legal Business Name | DAVID MCCALL MD PC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 6604 STATE HIGHWAY 56 SUITE 13
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City | POTSDAM
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State | NY
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Zip | 13676-3545
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Country | US
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Telephone | 315-261-4191
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Fax | 315-261-4516
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Provider Business Mailing Address
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Address Line | 6604 STATE HIGHWAY 56 SUITE 13
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City | POTSDAM
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State | NY
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Zip | 13676-3545
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Country | US
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Telephone | 315-261-4191
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Fax | 315-261-4516
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID S MCCALL
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Credential | MD
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Telephone | 315-261-4191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 205755
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License Number State | NY
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