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General NPI Number Information
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NPI Number | 1558091801
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Entity Type | Individual
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Provider Name | KEEGAN ARCHER MCCABE MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 7500 MERCY RD
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City | OMAHA
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State | NE
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Zip | 68124-2319
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Country | US
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Telephone | 402-398-6060
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Fax | 402-398-6982
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Provider Business Mailing Address
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Address Line | 523 N 3RD ST
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City | BRAINERD
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State | MN
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Zip | 56401-3054
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Country | US
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Telephone | 218-829-2861
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 36829
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 9312
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License Number State | NE
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