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General NPI Number Information
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NPI Number | 1437083755
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Entity Type | Individual
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Provider Name | MCKENZIE HOGGAN BSN, MSN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/13/2026
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Provider Practice Location Address
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Address Line | 1155 YELLOWSTONE AVE STE D
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City | POCATELLO
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State | ID
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Zip | 83201-4369
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Country | US
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Telephone | 208-637-9610
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Fax |
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Provider Business Mailing Address
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Address Line | 10728 N ELK RIDGE RD
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City | MALAD CITY
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State | ID
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Zip | 83252-5026
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 12078483-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1681116
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9681213
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License Number State | ID
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