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General NPI Number Information
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NPI Number | 1437218831
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Entity Type | Individual
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Provider Name | DAVID NATHAN MCAULIFFE MA, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 05/27/2011
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Provider Practice Location Address
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Address Line | 2323 N SHEFFIELD AVE
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City | CHICAGO
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State | IL
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Zip | 60614
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Country | US
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Telephone | 773-325-1451
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Fax |
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Provider Business Mailing Address
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Address Line | 1645 W ADDISON ST #1
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City | CHICAGO
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State | IL
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Zip | 60613-4695
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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