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General NPI Number Information
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NPI Number | 1255401865
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Entity Type | Individual
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Provider Name | PATRICIA A KEANE
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 6221 WILSHIRE BLVD SUITE 517
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City | LOS ANGELES
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State | CA
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Zip | 90048-5201
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Country | US
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Telephone | 213-760-4437
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Fax | 805-494-5258
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Provider Business Mailing Address
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Address Line | 350 FOX RIDGE DR
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1308
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Country | US
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Telephone | 213-760-4437
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Fax | 805-494-5258
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU954
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License Number State | CA
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