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General NPI Number Information
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NPI Number | 1083779805
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Entity Type | Organization
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Legal Business Name | SHAUN HAMLETT KEEL PC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2402 52ND ST. SUITE 6
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City | LUBBOCK
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State | TX
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Zip | 79412
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Country | US
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Telephone | 806-792-3181
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Fax | 806-792-3182
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Provider Business Mailing Address
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Address Line | 2402 52ND ST. SUITE 6
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City | LUBBOCK
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State | TX
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Zip | 79412
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Country | US
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Telephone | 806-792-3181
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Fax | 806-792-3182
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAUN H. KEEL
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Credential | EDD
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Telephone | 806-792-3181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 23761
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License Number State | TX
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