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General NPI Number Information
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NPI Number | 1386820751
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Entity Type | Organization
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Legal Business Name | MCCABE FAMILY CHIROPRACTIC, P. C.
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 08/17/2012
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Provider Practice Location Address
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Address Line | 218 S MAIN AVE
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City | RUGBY
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State | ND
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Zip | 58368-1721
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Country | US
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Telephone | 701-776-7676
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Fax | 701-776-7677
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Provider Business Mailing Address
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Address Line | 218 S MAIN AVE
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City | RUGBY
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State | ND
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Zip | 58368-1721
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Country | US
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Telephone | 701-776-7676
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Fax | 701-776-7677
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. TOBIAS TYLER MCCABE
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Credential | D.C.
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Telephone | 701-776-7676
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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 | 765
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License Number State | ND
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