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General NPI Number Information
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NPI Number | 1275813461
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Entity Type | Individual
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Provider Name | MALINDA MAY KEINERT DPT
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Gender | Female
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 3217 FIDDLERS CREEK DR
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City | WAUKESHA
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State | WI
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Zip | 53188-3946
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Country | US
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Telephone | 262-896-8888
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Fax |
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Provider Business Mailing Address
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Address Line | W240N2566 E PARKWAY MEADOW CIR UNIT 3
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City | PEWAUKEE
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State | WI
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Zip | 53072-5837
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Country | US
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Telephone | 920-207-3811
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 25846
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12149-24
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License Number State | WI
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