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General NPI Number Information
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NPI Number | 1396282083
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Entity Type | Individual
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Provider Name | THERESA KEEFER
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Gender | Female
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Dates
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Enumeration Date | 01/19/2017
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1201 MEADOW TRL
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City | CANTONMENT
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State | FL
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Zip | 32533-2610
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Country | US
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Telephone | 850-380-9682
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 MEADOW TRL
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City | CANTONMENT
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State | FL
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Zip | 32533-2610
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP 9245326
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2025037514
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 218969
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License Number State | AR
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