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General NPI Number Information
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NPI Number | 1114130887
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Entity Type | Individual
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Provider Name | ALLISON ELIZABETH KEENAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 7602 CENTRAL AVE STAPELEY BLDG SUITE 101
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City | PHILADELPHIA
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State | PA
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Zip | 19111
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Country | US
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Telephone | 215-969-2200
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Fax | 215-969-1856
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR STE 300
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 215-710-5522
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Fax | 215-710-5181
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS014430
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License Number State | PA
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