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General NPI Number Information
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NPI Number | 1134591001
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Entity Type | Organization
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Legal Business Name | KEEN RADIOLOGY, LLC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 3500 MUNROE DR
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City | MIAMI
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State | FL
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Zip | 33133-5932
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Country | US
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Telephone | 787-764-9493
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Fax | 787-759-3621
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Provider Business Mailing Address
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Address Line | PO BOX 367862
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City | SAN JUAN
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State | PR
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Zip | 00936-7862
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Country | US
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Telephone | 787-764-9493
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Fax | 787-759-3621
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Authorized Official
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Title or Position | R
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Name | MRS. MARIA M SILVA COLL
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Credential | DABR
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Telephone | 787-764-9493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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