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General NPI Number Information
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NPI Number | 1548148190
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Entity Type | Individual
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Provider Name | MCKAY S OSBORNE DC
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Gender | Male
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 2880 HIGHWAY 157 N STE 106
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City | MANSFIELD
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State | TX
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Zip | 76063-8851
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Country | US
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Telephone | 817-899-6071
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Fax |
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Provider Business Mailing Address
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Address Line | 414 NE 19TH ST
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-6103
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Country | US
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Telephone | 469-883-9015
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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 | 16517
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License Number State | TX
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