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General NPI Number Information
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NPI Number | 1336504174
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Entity Type | Individual
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Provider Name | JENNY CARTER KEEFE PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 60 COLUMBIA ST STE 400
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City | ORLANDO
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State | FL
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Zip | 32806-1115
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Country | US
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Telephone | 321-843-5851
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Fax | 321-843-7381
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Provider Business Mailing Address
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Address Line | 60 COLUMBIA ST STE 400
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City | ORLANDO
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State | FL
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Zip | 32806-1115
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Country | US
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Telephone | 321-843-5851
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Fax | 321-843-7381
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9109352
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License Number State | FL
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