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General NPI Number Information
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NPI Number | 1801945191
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Entity Type | Individual
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Provider Name | JUDITH ELAINE MCCANN DMD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 625 BARKSDALE RD 101 BARKSDALE PROFESSIONAL CENTER
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City | NEWARK
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State | DE
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Zip | 19711-4535
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Country | US
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Telephone | 302-368-7463
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Fax | 302-368-2520
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Provider Business Mailing Address
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Address Line | 625 BARKSDALE RD 101 BARKSDALE PROFESSIONAL CENTER
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City | NEWARK
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State | DE
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Zip | 19711-4535
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Country | US
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Telephone | 302-368-7463
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Fax | 302-368-2520
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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 | GI0000933
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License Number State | DE
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