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General NPI Number Information
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NPI Number | 1720021405
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Entity Type | Individual
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Provider Name | KELLI E HOWARD F.N.P. - C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 4102 24TH ST SUITE 406
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City | LUBBOCK
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State | TX
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Zip | 79410-1806
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Country | US
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Telephone | 806-725-6461
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Fax | 806-723-6334
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Provider Business Mailing Address
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Address Line | 6602 1ST ST
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City | LUBBOCK
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State | TX
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Zip | 79416-3704
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Country | US
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Telephone | 806-788-1600
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 652340
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License Number State | TX
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