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General NPI Number Information
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NPI Number | 1194640854
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Entity Type | Individual
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Provider Name | ELIZABETH KEEZER CMT
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 400 BRANDON AVE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-3310
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Country | US
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Telephone | 434-924-2013
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Fax |
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Provider Business Mailing Address
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Address Line | 9594 WARREN FERRY RD
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City | SCOTTSVILLE
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State | VA
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Zip | 24590-3858
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Country | US
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Telephone | 434-960-2016
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019013275
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License Number State | VA
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