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General NPI Number Information
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NPI Number | 1407300627
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Entity Type | Individual
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Provider Name | KAMIE DEE MCKEE NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 515 E GRANT ST SUITE 113
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City | MACOMB
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State | IL
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Zip | 61455-3368
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Country | US
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Telephone | 309-333-2439
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Fax |
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Provider Business Mailing Address
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Address Line | 718 S LAFAYETTE ST
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City | MACOMB
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State | IL
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Zip | 61455-2954
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Country | US
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Telephone | 309-333-2439
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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 | 209014624
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License Number State | IL
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