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General NPI Number Information
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NPI Number | 1265581326
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Entity Type | Individual
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Provider Name | JANET HADER KEATING M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 04/17/2019
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Provider Practice Location Address
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Address Line | 1600 EAST C STREET MURDOCH CENTER
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City | BUTNER
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State | NC
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Zip | 27509-2530
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Country | US
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Telephone | 919-575-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 EAST C STREET MURDOCH CENTER
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City | BUTNER
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State | NC
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Zip | 27509-2530
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Country | US
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Telephone | 919-575-1940
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33370
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME123295
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License Number State | FL
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