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General NPI Number Information
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NPI Number | 1376337113
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Entity Type | Individual
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Provider Name | KEEGAN MATCHETT MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 502 E BOONE AVE
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City | SPOKANE
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State | WA
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Zip | 99258-0001
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Country | US
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Telephone | 509-328-4220
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Fax |
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Provider Business Mailing Address
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Address Line | 128 ROUTE 27
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City | RAYMOND
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State | NH
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Zip | 03077-1230
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Country | US
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Telephone | 603-895-3351
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 113943-23
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License Number State | NH
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