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General NPI Number Information
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NPI Number | 1316156284
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Entity Type | Individual
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Provider Name | DESIRAE M MCKEE MD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 5613 114TH
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 602-677-8320
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Fax |
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Provider Business Mailing Address
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Address Line | 4911 19TH ST
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City | LUBBOCK
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State | TX
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Zip | 79407-2201
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Country | US
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Telephone | 602-677-8320
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | N8220
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | N8220
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License Number State | TX
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