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General NPI Number Information
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NPI Number | 1356676043
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Entity Type | Individual
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Provider Name | JOANNA M KEENAN PT
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Gender | Female
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 1120 POLARIS PKWY SUITE 202
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City | COLUMBUS
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State | OH
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Zip | 43240-4042
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Country | US
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Telephone | 614-433-0264
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Fax | 614-545-0474
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Provider Business Mailing Address
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Address Line | 200 PUTNAM ST SUITE 800
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City | MARIETTA
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State | OH
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Zip | 45750-3005
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Country | US
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Telephone | 740-373-9446
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Fax | 740-373-7074
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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 | 012300
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License Number State | OH
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