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General NPI Number Information
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NPI Number | 1720223894
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Entity Type | Individual
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Provider Name | REBECCA LEE MCKIMMEY CNM ANP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 18220 STATE HIGHWAY 249 STE 370
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City | HOUSTON
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State | TX
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Zip | 77070-4349
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Country | US
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Telephone | 907-795-2479
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Fax |
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Provider Business Mailing Address
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Address Line | 13210 CLEPPER DR
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City | TOMBALL
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State | TX
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Zip | 77375-3037
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Country | US
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Telephone | 907-795-2479
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | APRN1106095
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 115320
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | AP133489
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License Number State | TX
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