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NPI 1558857763

NPI 1558857763 : DEVON MCCABE FNP-BC : KEENE, NY

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General NPI Number Information
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    NPI Number           |    1558857763
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    Entity Type          |    Individual 
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    Provider Name        |    DEVON MCCABE FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2018
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    2841 NYS ROUTE 73 
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    City                 |    KEENE
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    State                |    NY
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    Zip                  |    12942-7700
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    Country              |    US
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    Telephone            |    518-576-9771
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    Fax                  |    518-576-2077
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Provider Business Mailing Address
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    Address Line         |    2233 STATE ROUTE 86 
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    City                 |    SARANAC LAKE
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    State                |    NY
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    Zip                  |    12983-5644
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    Country              |    US
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    Telephone            |    518-897-4725
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    342599
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    License Number State |    NY
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