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NPI 1669527875

NPI 1669527875 : MCCAFFREY FAMILY HEALTH CENTER PC : HILLSBORO, IL

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General NPI Number Information
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    NPI Number           |    1669527875
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCCAFFREY FAMILY HEALTH CENTER PC 
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Dates
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    Enumeration Date     |    01/25/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    113 WEST WOOD STREET 
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    City                 |    HILLSBORO
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    State                |    IL
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    Zip                  |    62049
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    Country              |    US
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    Telephone            |    217-532-6465
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    Fax                  |    217-532-3048
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Provider Business Mailing Address
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    Address Line         |    113 WEST WOOD STREET 
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    City                 |    HILLSBORO
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    State                |    IL
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    Zip                  |    62049
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    Country              |    US
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    Telephone            |    217-532-6465
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    Fax                  |    217-532-3048
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     SEAN EDWARD MCCAFFREY 
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    Credential           |    DC
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    Telephone            |    217-532-6465
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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       |    
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    License Number State |    
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