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General NPI Number Information
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NPI Number | 1205628096
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Entity Type | Individual
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Provider Name | KEELY ALLEN PTA
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 2001 W 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1902
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Country | US
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Telephone | 317-415-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 BURGUNDY WAY
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City | PLAINFIELD
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State | IN
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Zip | 46168-7361
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State | IN
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