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General NPI Number Information
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NPI Number | 1831405893
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Entity Type | Individual
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Provider Name | KRISTINA D MCAULIFFE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 301 N N ST
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City | MIDLAND
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State | TX
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Zip | 79701-6404
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Country | US
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Telephone | 432-620-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 800 W 4TH ST STE 2C60
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City | ODESSA
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State | TX
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Zip | 79763-4362
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Country | US
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Telephone | 432-703-5050
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Fax | 432-335-5240
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 8046
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | T6641
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License Number State | TX
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