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General NPI Number Information
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NPI Number | 1831906437
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Entity Type | Individual
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Provider Name | MCKENNA STEELE APRN
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Gender | Female
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 1250 8TH AVE, STE 330
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City | FORT WORTH
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State | TX
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Zip | 76104-4148
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Country | US
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Telephone | 817-923-5559
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Fax | 817-924-3222
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Provider Business Mailing Address
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Address Line | 1300 RIDGEVIEW DR
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City | WEATHERFORD
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State | TX
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Zip | 76086
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Country | US
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Telephone | 817-739-8799
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 1170071
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License Number State | TX
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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 | 1170071
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License Number State | TX
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