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General NPI Number Information
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NPI Number | 1205805777
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Entity Type | Individual
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Provider Name | CATHERINE PIERCE MCKEGNEY MD
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Gender | Female
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 671 VANDALIA ST
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City | SAINT PAUL
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State | MN
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Zip | 55114-1312
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Country | US
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Telephone | 651-698-2406
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Fax | 651-698-2405
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Provider Business Mailing Address
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Address Line | 671 VANDALIA ST
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City | SAINT PAUL
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State | MN
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Zip | 55114-1312
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Country | US
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Telephone |
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Fax | 651-698-2405
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 51028
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26986
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License Number State | MN
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