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General NPI Number Information
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NPI Number | 1801279153
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Entity Type | Individual
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Provider Name | ANTHONY MCCARTY JR. PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 07/06/2015
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Last Update Date | 07/06/2015
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Provider Practice Location Address
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Address Line | 1005 W BEACON ST
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City | PHILADELPHIA
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State | MS
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Zip | 39350-3203
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Country | US
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Telephone | 601-389-1119
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Fax |
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Provider Business Mailing Address
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Address Line | 4315 HIGHWAY 39 N APT 8H
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City | MERIDIAN
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State | MS
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Zip | 39301-1020
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-13716
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License Number State | MS
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