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General NPI Number Information
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NPI Number | 1427351048
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Entity Type | Organization
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Legal Business Name | R.E. MCCARTHY, D.C., P.C.
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 437 S 5TH ST
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City | COTTAGE GROVE
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State | OR
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Zip | 97424-2407
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Country | US
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Telephone | 541-942-5486
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Fax | 542-942-9433
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Provider Business Mailing Address
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Address Line | 437 S 5TH ST
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City | COTTAGE GROVE
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State | OR
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Zip | 97424-2407
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Country | US
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Telephone | 541-942-5486
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Fax | 542-942-9433
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD E MCCARTHY
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Credential | D.C., P.C.
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Telephone | 541-942-5486
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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 | 27 1365
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License Number State | OR
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