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General NPI Number Information
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NPI Number | 1780189860
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Entity Type | Individual
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Provider Name | KATHLEEN MCCABE MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 350 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2733
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Country | US
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Telephone | 386-238-3200
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Fax | 386-238-3261
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Provider Business Mailing Address
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Address Line | 350 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2733
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Country | US
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Telephone | 386-481-6661
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Fax | 386-481-5171
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME169318
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License Number State | FL
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