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General NPI Number Information
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NPI Number | 1023238375
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Entity Type | Individual
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Provider Name | JUDITH ANNE KEENAN LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 179 LAWRENCE ST COMMUNITY HOSPICE OF SARATOGA
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866
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Country | US
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Telephone | 518-581-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ELIZABETH LANE
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City | SCHUYLERVILLE
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State | NY
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Zip | 12871
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Country | US
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Telephone | 518-695-5494
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Fax | 518-581-9460
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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