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General NPI Number Information
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NPI Number | 1750623252
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Entity Type | Individual
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Provider Name | DAREN J MCCALLA MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | STONY BROOK MEDICINE HSC T18 ROOM 020
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City | STONY BROOK
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State | NY
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Zip | 11794-8181
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Country | US
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Telephone | 631-444-2632
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Fax | 631-444-7671
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Provider Business Mailing Address
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Address Line | STONY BROOK MEDICINE HSC T18 ROOM 020
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City | STONY BROOK
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State | NY
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Zip | 11794-8181
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Country | US
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Telephone | 631-444-2632
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Fax | 631-444-7671
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 315563
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | S3421
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License Number State | TX
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