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General NPI Number Information
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NPI Number | 1609673607
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Entity Type | Individual
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Provider Name | PATRICK L MCCABE III LMT
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Gender | Male
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 3624 6TH AVE STE B
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City | TACOMA
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State | WA
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Zip | 98406-5400
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Country | US
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Telephone | 206-877-3288
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Fax |
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Provider Business Mailing Address
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Address Line | 1727 N PROSPECT ST
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City | TACOMA
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State | WA
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Zip | 98406-8109
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Country | US
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Telephone | 206-877-3288
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | W56886
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60596045
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License Number State | WA
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