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General NPI Number Information
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NPI Number | 1124212717
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Entity Type | Organization
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Legal Business Name | KEEGAN NEUROLOGY PL
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 2800 BAHIA VISTA ST SUITE 200
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City | SARASOTA
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State | FL
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Zip | 34239-2742
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Country | US
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Telephone | 941-953-6983
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 49014
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City | SARASOTA
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State | FL
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Zip | 34230-6014
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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 | MANAGING MEMBER
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Name | ANDREW P. KEEGAN
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Credential | M.D.
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Telephone | 941-778-8178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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