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General NPI Number Information
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NPI Number | 1750701561
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Entity Type | Individual
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Provider Name | MCKELLAN BINKLEY
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Gender | Female
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Dates
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Enumeration Date | 04/18/2014
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 475 W 940 N
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City | PROVO
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State | UT
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Zip | 84604-3301
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Country | US
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Telephone | 801-357-7926
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Fax |
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Provider Business Mailing Address
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Address Line | 48 CASA LOMA RD
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City | CEDAR CREST
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State | NM
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Zip | 87008-9435
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 9498520-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 9498520-1205
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License Number State | UT
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