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NPI 1316136476

NPI 1316136476 : JAMES HENRY KEENE M.D. : BEND, OR

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General NPI Number Information
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    NPI Number           |    1316136476
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES HENRY KEENE M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/15/2007
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    2500 NE NEFF RD 
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    City                 |    BEND
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    State                |    OR
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    Zip                  |    97701-6015
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    Country              |    US
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    Telephone            |    541-706-6892
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    Fax                  |    541-706-6813
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Provider Business Mailing Address
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    Address Line         |    PO BOX 31403 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98103-1403
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    Country              |    US
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    Telephone            |    
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD60416135
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    25630
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    A122261
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    License Number State |    CA
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