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General NPI Number Information
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NPI Number | 1003289513
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Entity Type | Individual
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Provider Name | MATTHEW EDWARD MCCABE I D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 10491 6 MILE CYPRESS PKWY
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City | FORT MYERS
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State | FL
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Zip | 33966-6406
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Country | US
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Telephone | 239-288-5876
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Fax |
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Provider Business Mailing Address
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Address Line | 23 STIRRUP DR
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City | ALBANY
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State | NY
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Zip | 12205-2309
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Country | US
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Telephone | 518-365-5817
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11653
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License Number State | FL
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