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General NPI Number Information
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NPI Number | 1255403622
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Entity Type | Individual
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Provider Name | JAMIE ANN MCKEEHAN MASSIE M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1231 116TH AVE NE STE 705
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City | BELLEVUE
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State | WA
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Zip | 98004-3804
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Country | US
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Telephone | 206-515-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 116TH AVE NE STE 705
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City | BELLEVUE
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State | WA
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Zip | 98004-3804
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Country | US
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Telephone | 206-515-0000
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | MD60636963
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD60636963
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License Number State | WA
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