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General NPI Number Information
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NPI Number | 1093944373
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Entity Type | Individual
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Provider Name | JOSEPH P. KEATING II P.T., D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 713 WALT WHITMAN RD SUITE B
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City | MELVILLE
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State | NY
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Zip | 11747-2219
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Country | US
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Telephone | 631-425-5900
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Fax | 631-424-9850
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Provider Business Mailing Address
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Address Line | 28 PIERMONT CT
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City | MELVILLE
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State | NY
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Zip | 11747-1410
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Country | US
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Telephone | 516-526-5196
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Fax | 631-351-4049
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 031523
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License Number State | NY
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