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General NPI Number Information
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NPI Number | 1336163492
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Entity Type | Individual
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Provider Name | JENNIFER GREENHOW KELLER MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 8 PROSPECT ST NASHUA ANESTHESIA PARTNERS, SNHMC
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City | NASHUA
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State | NH
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Zip | 03060-1000
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Country | US
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Telephone | 603-577-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1051 831 COVERED BRIDGE LANE
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City | GRANTHAM
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State | NH
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Zip | 03753-1051
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Country | US
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Telephone | 603-381-5712
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0420011431
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 13106
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License Number State | NH
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