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General NPI Number Information
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NPI Number | 1891601522
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Entity Type | Organization
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Legal Business Name | MCCARTY INNOVATIVE SOLUTIONS INC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 409 13TH ST STE 600
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City | OAKLAND
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State | CA
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Zip | 94612-2606
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Country | US
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Telephone | 442-436-5520
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Fax |
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Provider Business Mailing Address
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Address Line | 409 13TH ST STE 600
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City | OAKLAND
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State | CA
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Zip | 94612-2606
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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 | OPERATIONS COORDINATOR
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Name | KRISTINE MARIE DAVIS
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Credential |
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Telephone | 442-436-5520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | NULL
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