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General NPI Number Information
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NPI Number | 1255521548
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Entity Type | Individual
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Provider Name | CHILLON A MCKIBBIN CNM
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 111 17TH AVE E
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City | ALEXANDRIA
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State | MN
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Zip | 56308-5273
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Country | US
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Telephone | 320-763-2707
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Fax | 320-759-4395
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Provider Business Mailing Address
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Address Line | 610 30TH AVENUE WEST ALEXANDRIA CLINIC
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City | ALEXANDRIA
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State | MN
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Zip | 56308
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Country | US
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Telephone | 320-763-5123
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Fax | 320-763-7883
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | R1567047
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License Number State | MN
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