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General NPI Number Information
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NPI Number | 1801066493
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Entity Type | Individual
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Provider Name | JAMES PEARSON MCVAUGH D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 138 N MERIDIAN ST
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City | ABERDEEN
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State | MS
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Zip | 39730-2636
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Country | US
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Telephone | 662-369-6722
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Fax | 662-369-1700
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Provider Business Mailing Address
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Address Line | PO BOX 661
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City | ABERDEEN
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State | MS
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Zip | 39730-0661
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Country | US
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Telephone | 662-369-6722
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Fax | 662-369-1700
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1936-81
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License Number State | MS
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