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General NPI Number Information
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NPI Number | 1174765465
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Entity Type | Individual
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Provider Name | ANNE KEENEY HANEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 143 CHURCH SREET
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City | PHOENIXVILLE
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State | PA
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Zip | 19460
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Country | US
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Telephone | 610-935-1134
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Fax |
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Provider Business Mailing Address
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Address Line | 195 PEMBROOKE CIR
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-5725
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Country | US
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Telephone | 610-917-9511
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | VP002002C
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License Number State | PA
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