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General NPI Number Information
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NPI Number | 1184693293
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Entity Type | Individual
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Provider Name | JENNIFER P. KEENE OTR
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1600 SCOTTSVILLE RD SUITE 101
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3217
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Country | US
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Telephone | 270-781-0028
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Fax | 270-781-0007
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Provider Business Mailing Address
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Address Line | PO BOX 391
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City | BOWLING GREEN
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State | KY
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Zip | 42102-0391
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Country | US
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Telephone | 270-781-0028
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Fax | 270-781-0007
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | R2876
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License Number State | KY
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