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General NPI Number Information
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NPI Number | 1023055712
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Entity Type | Individual
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Provider Name | CONSTANCE H KEEFER MD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 75 FRANCIS ST
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City | BOSTON
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State | MA
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Zip | 02115
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Country | US
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Telephone | 617-732-6030
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Fax | 617-278-6983
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Provider Business Mailing Address
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Address Line | 1295 BOYLSTON ST STE 320
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City | BOSTON
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State | MA
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Zip | 02215
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Country | US
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Telephone | 857-218-4349
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Fax | 617-730-0060
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 33751
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 33751
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License Number State | MD
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