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General NPI Number Information
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NPI Number | 1740305804
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Entity Type | Individual
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Provider Name | THOMAS KINCAID MCCAWLEY DDS
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 800 E BROWARD BLVD STE 706
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301
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Country | US
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Telephone | 954-522-3228
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Fax | 954-522-3423
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Provider Business Mailing Address
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Address Line | 715 SOLAR ISLE DRIVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301
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Country | US
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Telephone | 954-763-4714
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Fax | 954-524-0942
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5447
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License Number State | FL
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