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General NPI Number Information
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NPI Number | 1366899387
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Entity Type | Organization
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Legal Business Name | K. CASEY KEATING, DDS, PLLC
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 130 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4106
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Country | US
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Telephone | 828-252-3851
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Fax |
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Provider Business Mailing Address
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Address Line | 130 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4106
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Country | US
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Telephone | 828-252-3851
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | KEVIN CASEY KEATING
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Credential | DDS
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Telephone | 336-339-1966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9382
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License Number State | NC
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