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General NPI Number Information
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NPI Number | 1497126965
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Entity Type | Individual
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Provider Name | BRENDA MCKEE
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Gender | Female
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 1492 S SILICON WAY STE A
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City | ST GEORGE
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State | UT
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Zip | 84770-7156
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Country | US
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Telephone | 435-275-8911
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Fax |
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Provider Business Mailing Address
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Address Line | 208 S VALLEY VIEW DR APT 4
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City | ST GEORGE
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State | UT
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Zip | 84770-1872
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Country | US
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Telephone | 435-590-9746
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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