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General NPI Number Information
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NPI Number | 1063929925
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Entity Type | Individual
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Provider Name | MEREDITH KEEN LMFTA
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Gender | Female
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Dates
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Enumeration Date | 01/01/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 130 IOWA LN STE 101
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City | CARY
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State | NC
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Zip | 27511
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Country | US
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Telephone | 919-590-5625
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Fax | 919-808-4328
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Provider Business Mailing Address
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Address Line | 147 PIONEER PATH
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8842
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12071A
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License Number State | NC
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