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General NPI Number Information
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NPI Number | 1417034570
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Entity Type | Organization
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Legal Business Name | RICHARD R. KEENE MD PA
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 3605 CLAYMORE DR
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City | PLANO
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State | TX
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Zip | 75075-6206
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Country | US
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Telephone | 888-986-4001
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Fax | 888-986-4010
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Provider Business Mailing Address
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Address Line | PO BOX 866815
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City | PLANO
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State | TX
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Zip | 75086-6815
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Country | US
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Telephone | 888-986-4001
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Fax | 888-986-4010
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD R KEENE
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Credential | MD
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Telephone | 469-241-8060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | E9263
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License Number State | TX
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