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General NPI Number Information
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NPI Number | 1245898667
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Entity Type | Organization
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Legal Business Name | KEESLER CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 7 MILLER RD
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City | MAHOPAC
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State | NY
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Zip | 10541-2227
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Country | US
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Telephone | 914-391-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 5 HORTON LN
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-5260
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Country | US
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Telephone | 914-391-6113
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CHELSEA DIANE KEESLER
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Credential | DC
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Telephone | 914-391-6113
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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 |
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License Number State |
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