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General NPI Number Information
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NPI Number | 1093784787
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Entity Type | Individual
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Provider Name | JAY D KEELER DC
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Gender | Male
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 1700 E 30TH AVE STE A
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City | HUTCHINSON
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State | KS
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Zip | 67502-1263
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Country | US
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Telephone | 620-662-6607
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Fax | 620-662-6850
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Provider Business Mailing Address
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Address Line | PO BOX 152 758 E WICHITA AVE
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City | RUSSELL
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State | KS
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Zip | 67665
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Country | US
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Telephone | 785-483-4909
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Fax | 785-483-5166
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104232
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License Number State | KS
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