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General NPI Number Information
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NPI Number | 1417357906
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Entity Type | Individual
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Provider Name | MICHAEL SEAN KEEGAN MC
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Gender | Male
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 731 ILLINOIS ST
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City | SIDNEY
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State | NE
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Zip | 69162-1747
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Country | US
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Telephone | 308-249-7853
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Fax | 308-365-5122
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Provider Business Mailing Address
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Address Line | 730 W 3RD ST
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City | HASTINGS
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State | NE
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Zip | 68901-5134
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Country | US
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Telephone | 623-326-4681
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC14194
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2963
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License Number State | NE
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