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General NPI Number Information
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NPI Number | 1841630886
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Entity Type | Individual
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Provider Name | JOHN C MCCABE L.AC.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 9820 WILLOW CREEK RD SUITE 485
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City | SAN DIEGO
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State | CA
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Zip | 92131-1112
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Country | US
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Telephone | 858-689-1335
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Fax |
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Provider Business Mailing Address
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Address Line | 5003 E MOUNTAIN VIEW DR
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City | SAN DIEGO
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State | CA
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Zip | 92116-1943
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Country | US
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Telephone | 858-751-4624
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC15458
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License Number State | CA
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