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General NPI Number Information
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NPI Number | 1861769739
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Entity Type | Organization
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Legal Business Name | REDWOOD OSTEOPATHY INC
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 1225 CENTRAL AVE SUITE 12
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-4390
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Country | US
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Telephone | 707-633-6146
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Fax | 707-633-6147
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Provider Business Mailing Address
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Address Line | 1225 CENTRAL AVE SUITE 12
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-4390
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Country | US
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Telephone | 707-633-6146
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Fax | 707-633-6147
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. KATE MCCAFFREY
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Credential | D.O.
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Telephone | 707-633-6146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 20A8316
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License Number State | CA
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