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General NPI Number Information
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NPI Number | 1174383335
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Entity Type | Organization
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Legal Business Name | PAIGE KEELING LLC
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 14710 STERLING GREEN BLVD STE B
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City | HOUSTON
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State | TX
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Zip | 77015-3269
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Country | US
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Telephone | 303-717-2745
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Fax |
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Provider Business Mailing Address
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Address Line | 15514 EARLY ELM CT
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City | HOUSTON
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State | TX
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Zip | 77049-1543
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Country | US
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Telephone | 303-717-2745
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PAIGE M KEELING
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Credential |
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Telephone | 303-717-2745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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