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General NPI Number Information
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NPI Number | 1326169541
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Entity Type | Individual
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Provider Name | KEITA L VANTERPOOL D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 2300 GOOD HOPE RD SE APT 916
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City | WASHINGTON
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State | DC
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Zip | 20020-5132
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Country | US
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Telephone | 202-744-3430
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Fax | 202-536-2478
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Provider Business Mailing Address
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Address Line | PO BOX 30276
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City | WASHINGTON
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State | DC
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Zip | 20030-0276
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Country | US
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Telephone | 202-744-3430
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Fax | 202-536-2478
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH30018
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | SO3383
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | CH30018
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License Number State | DC
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