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General NPI Number Information
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NPI Number | 1710218490
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Entity Type | Individual
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Provider Name | JAMES MARTIN MCCANN DMD
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Gender | Male
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 650 JOEL DR
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City | FORT CAMPBELL
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State | KY
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Zip | 42223-5318
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Country | US
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Telephone | 270-798-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 6417 VILLAGGIO DR
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City | EL PASO
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State | TX
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Zip | 79932
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Country | US
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Telephone | 954-732-2037
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12957
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 7491917-9926
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License Number State | UT
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