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General NPI Number Information
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NPI Number | 1881887263
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Entity Type | Individual
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Provider Name | BLAYNE H MCCAFFREY DPM
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Gender | Male
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 1310 N 13TH ST STE 2
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City | NORFOLK
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State | NE
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Zip | 68701-2592
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Country | US
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Telephone | 402-371-5530
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Fax | 844-224-9500
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Provider Business Mailing Address
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Address Line | 1310 N 13TH ST STE 2
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City | NORFOLK
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State | NE
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Zip | 68701-2592
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Country | US
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Telephone | 402-371-5530
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Fax | 402-371-5530
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016.005498
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 834
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 352
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License Number State | NE
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