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General NPI Number Information
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NPI Number | 1902881485
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Entity Type | Individual
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Provider Name | WILLIAM VAUGHN MCCALL MD
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Gender | Male
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 997 ST. SEBASTIAN WAY GEORGIA REGENTS MEDICAL ASSOCIATES
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City | AUGUSTA
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State | GA
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Zip | 30901
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Country | US
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Telephone | 706-721-6597
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Fax | 706-721-6602
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Provider Business Mailing Address
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Address Line | 1120 15TH ST STE BI1056
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-828-8401
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Fax | 706-722-7235
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 067733
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License Number State | GA
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