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General NPI Number Information
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NPI Number | 1023879855
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Entity Type | Individual
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Provider Name | KATHRYN S MCGAHAN BOYLE DC
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Gender | Female
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 1458 E CHICAGO AVE
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City | NAPERVILLE
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State | IL
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Zip | 60540-5915
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Country | US
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Telephone | 630-360-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 1362 GREEN TRAILS DR
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City | NAPERVILLE
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State | IL
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Zip | 60540-7031
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Country | US
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Telephone | 630-360-1710
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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 | 038010284
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License Number State | IL
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