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Organization
CAPE CHIROPRACTIC GROUP LLC
Active
Organization
CAPE CHIROPRACTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN V AVITABILE DC (OWNER)
(508) 778-5005
Entity
Organization
Contact information
Practice address
1665 FALMOUTH RD, CENTERVILLE, MA 02632-2944
(508) 778-5005
(508) 778-5006
Mailing address
1665 FALMOUTH RD, CENTERVILLE, MA 02632-2944
(508) 778-5005
(508) 778-5006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084899A
—
MA
01
—
686094
TUFTS HEALTH PLAN
MA
01
—
Y40145
BCBS MA
MA
Enumeration date
02/22/2008
Last updated
01/18/2019
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