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General NPI Number Information
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NPI Number | 1194901405
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Entity Type | Individual
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Provider Name | YVONNE ELAINE KEEP FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1705 WAVERLY DR SE
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City | ALBANY
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State | OR
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Zip | 97322-6952
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Country | US
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Telephone | 541-967-8221
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Fax |
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Provider Business Mailing Address
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Address Line | 444 NW ELKS DR
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City | CORVALLIS
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State | OR
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Zip | 97330-3745
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Country | US
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Telephone | 541-754-1150
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 36966
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25740.0942
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200850007NP
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License Number State | OR
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