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NPI 1265903587

NPI 1265903587 : ERIN ANN MCCABE L. AC. : EAGAN, MN

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General NPI Number Information
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    NPI Number           |    1265903587
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN ANN MCCABE L. AC.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/16/2018
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    Last Update Date     |    12/16/2018
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Provider Practice Location Address
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    Address Line         |    3410 FEDERAL DR STE 105 
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    City                 |    EAGAN
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    State                |    MN
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    Zip                  |    55122-1337
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    Country              |    US
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    Telephone            |    651-243-1275
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    586 IOWA AVE E 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55130-3027
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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    |    
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    1888
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    License Number State |    MN
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