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NPI 1104784024

NPI 1104784024 : EMILY KEELER : BURLESON, TX

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General NPI Number Information
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    NPI Number           |    1104784024
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY KEELER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/10/2026
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    Last Update Date     |    01/10/2026
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Provider Practice Location Address
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    Address Line         |    110 SW THOMAS ST 
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    City                 |    BURLESON
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    State                |    TX
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    Zip                  |    76028-3818
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    Country              |    US
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    Telephone            |    714-366-9444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3117 FM 2135 UNIT 1 
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    City                 |    CLEBURNE
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    State                |    TX
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    Zip                  |    76031-9116
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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