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General NPI Number Information
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NPI Number | 1225522840
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Entity Type | Individual
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Provider Name | ALEXA THERESA KELLER DC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 31 E MULBERRY ST
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City | LEBANON
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State | OH
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Zip | 45036-2203
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Country | US
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Telephone | 513-409-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 807 CHERRY HILL LN
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City | LEBANON
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State | OH
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Zip | 45036-8283
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Country | US
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Telephone | 937-478-2477
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-04917
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4909
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License Number State | NC
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