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General NPI Number Information
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NPI Number | 1932449055
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Entity Type | Individual
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Provider Name | KELLEE LORRAINE RANDLE DO
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Gender | Female
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1405 W JEFFERSON ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-2231
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Country | US
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Telephone | 972-923-7144
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Fax | 972-923-7145
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Provider Business Mailing Address
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Address Line | 1405 W JEFFERSON ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-2231
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Country | US
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Telephone | 972-923-7144
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Fax | 972-923-7145
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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 | OS18511
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2023047549
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 318494
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | P3570
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.016107
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 34.016107
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2023047549
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OS18511
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 318494
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P3570
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License Number State | TX
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