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General NPI Number Information
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NPI Number | 1932469723
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Entity Type | Individual
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Provider Name | KRISTI NICOLE MCKEE L.M.
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Gender | Female
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Dates
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Enumeration Date | 05/25/2012
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 4607 EL CAMINO REAL
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City | ATASCADERO
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State | CA
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Zip | 93422-2758
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Country | US
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Telephone | 805-462-1100
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Fax | 805-462-1106
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Provider Business Mailing Address
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Address Line | 9520 GALLINA CT
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City | ATASCADERO
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State | CA
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Zip | 93422-1710
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Country | US
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Telephone | 805-540-0902
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Fax | 805-462-1106
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | LM337
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License Number State | CA
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