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General NPI Number Information
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NPI Number | 1366258659
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Entity Type | Individual
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Provider Name | JULIA ANGELINA MCKEEHAN AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 450 4TH AVE STE 215
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City | CHULA VISTA
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State | CA
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Zip | 91910-4428
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Country | US
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Telephone | 619-425-3840
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Fax | 619-425-3842
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Provider Business Mailing Address
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Address Line | 601 11TH AVE UNIT 2105
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City | SAN DIEGO
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State | CA
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Zip | 92101-7895
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Country | US
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Telephone | 480-326-9192
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95033208
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License Number State | CA
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