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General NPI Number Information
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NPI Number | 1649338856
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Entity Type | Individual
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Provider Name | KELLEIGH JEAN STRICKLAND NP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 420 W 1500 S STE 201
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City | BOUNTIFUL
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State | UT
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Zip | 84010-7434
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Country | US
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Telephone | 844-209-5258
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Fax |
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Provider Business Mailing Address
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Address Line | 623 N MILLEDGE AVE UNIT A
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City | ATHENS
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State | GA
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Zip | 30601-3803
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Country | US
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Telephone | 770-965-2699
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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 | R45240
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP5610
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN146690
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License Number State | GA
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