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General NPI Number Information
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NPI Number | 1366255150
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Entity Type | Individual
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Provider Name | MR. MATTHEW O'KEEFFE
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Gender | Male
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1127 JOHNSON ST
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City | LOUISVILLE
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State | OH
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Zip | 44641-1020
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Country | US
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Telephone | 808-212-4397
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1141
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City | HANALEI
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State | HI
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Zip | 96714-1141
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Country | US
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Telephone | 808-212-4397
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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