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General NPI Number Information
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NPI Number | 1306073507
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Entity Type | Individual
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Provider Name | JENNIFER LEE MCKEEVER L.AC.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 5310 HARVEST HILL RD SUITE 165
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City | DALLAS
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State | TX
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Zip | 75230-5806
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Country | US
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Telephone | 972-386-9776
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Fax | 775-416-4471
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Provider Business Mailing Address
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Address Line | 5310 HARVEST HILL RD SUITE 165
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City | DALLAS
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State | TX
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Zip | 75230-5806
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Country | US
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Telephone | 972-386-9776
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Fax | 775-416-4471
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 01124
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 7682
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License Number State | CA
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